| 双带线锚钉重建喙锁韧带治疗Tossy Ⅲ型肩锁关节脱位的CT测量及临床应用 |
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投稿时间：2016-08-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 张传开 |
ZHANG Chuan-kai |
解放军第九七医院创伤修复中心, 江苏 徐州 221004 |
Trauma Repair Center, the 97 th Hospital of PLA, Xuzhou 221004, Jiangsu, China |
zhangdakuo97@163.com |
| 刘忱 |
LIU Chen |
解放军第九七医院创伤修复中心, 江苏 徐州 221004 |
Trauma Repair Center, the 97 th Hospital of PLA, Xuzhou 221004, Jiangsu, China |
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| 韩冰 |
HAN Bing |
解放军第九七医院创伤修复中心, 江苏 徐州 221004 |
Trauma Repair Center, the 97 th Hospital of PLA, Xuzhou 221004, Jiangsu, China |
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| 冯晖 |
FENG Hui |
解放军第九七医院创伤修复中心, 江苏 徐州 221004 |
Trauma Repair Center, the 97 th Hospital of PLA, Xuzhou 221004, Jiangsu, China |
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| 陈启中 |
CHEN Qi-zhong |
解放军第九七医院创伤修复中心, 江苏 徐州 221004 |
Trauma Repair Center, the 97 th Hospital of PLA, Xuzhou 221004, Jiangsu, China |
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| 孙燚炎 |
SUN Yi-yan |
解放军第九七医院创伤修复中心, 江苏 徐州 221004 |
Trauma Repair Center, the 97 th Hospital of PLA, Xuzhou 221004, Jiangsu, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第4期，第353-355页 |
| DOI：10.3969/j.issn.1003-0034.2017.04.014 |
| 基金项目: |
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中文摘要:
目的：通过对喙突的冠状面CT测量探讨双枚带线锚钉重建喙锁韧带治疗肩锁关节脱位的可行性和可靠性，为临床治疗肩锁关节脱位提供一种新的手术方法。
方法：选18~50岁健康成年人，男女各30例，进行肩关节多层螺旋CT平扫。对喙突中部冠状面的宽度、厚度及外倾20°斜角线厚度等做CT解剖学测量。临床应用12例，均为Tossy Ⅲ型肩锁关节脱位。
结果：喙突中部的左右宽度：男性左侧（17.65±1.82）mm，右侧（17.67±1.80）mm；女性左侧（16.55±1.78）mm，右侧（16.52±1.74）mm。垂直厚度：男性左侧（13.11±2.11）mm，右侧（13.16±2.09）mm；女性左侧（12.79±2.21）mm，右侧（12.76±2.19）mm。外倾20°斜角线厚度：男性左侧（16.32±1.74）mm，右侧（16.30±1.69）mm；女性左侧（15.68±1.44）mm，右侧（15.67±1.43）mm。临床应用12例，均按外倾20°置入锚钉，术后复查X线片示锚钉均位于喙突骨质内，未见骨质劈裂。
结论：喙突可以接受直径5 mm的2枚带线锚钉，外倾20°置入锚钉可完全纳入骨质内，临床效果满意。 |
| 【关键词】肩锁关节 脱位 解剖学 成像,三维 |
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| CT measurement and clinical application of double-row suture anchor reconstruction for the treatment of Tossy typeⅢ acromioclavicular joint dislocation |
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ABSTRACT
Objective: To study feasibility and reliability of reconstruction of the acromioclavicular ligament with double-row suture anchor for the treatment of acromioclavicular joint dislocation through coracoid coronal CT measurement,and to provide a new operation method for treating acromioclavicular joint dislocation.
Methods: Total 60 healthy people received CT examination of shoulder joint,including 30 males and 30 females,ranging in age from 18 to 50 years old. The coronal width,thickness and 20 degree camber angle in the medial part of the toot of coronal were measured using CT scan. The results were applied to clinical treatment for 12 patients with acromioclavicular joint dislocation of Tossy Ⅲ type.
Results: The width in the medial part of the root of the coracoid was(17.65±1.82) mm(left side) and(17.67±1.80) mm(right side) in males;(16.55±1.78) mm(left side) and (16.52±1.74) mm(right side) in females. The vertical thickness of the roots of the coracoid:(13.11±2.11) mm(left side) and (13.16±2.09) mm(right side) in males;(12.79±2.21) mm(left side) and (12.76±2.19) mm(right side) in females. The thickness of 20 degrees camber angle of the coracoid roots:(16.32±1.74) mm(left side) and(16.30±1.69) mm(right side) in males;(15.68±1.44) mm(left side) and (15.67±1.43) mm(right side) in females. Total 12 patients were treated with anchor nail with extraversion 20 degrees. The postoperative X-ray films showed bone anchors were located in the coracoid process,no bone splitting.
Conclusion: Double-row suture anchor of 5 mm diameter nails can be placed into coracoid with extraversion 20 degrees,which is safety. |
| KEY WORDS Acromioclavicular joint Dislocations Anatomy Imaging, three-dimensional |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张传开,刘忱,韩冰,冯晖,陈启中,孙燚炎.双带线锚钉重建喙锁韧带治疗Tossy Ⅲ型肩锁关节脱位的CT测量及临床应用[J].中国骨伤,2017,30(4):353~355 |
| 英文格式: | ZHANG Chuan-kai,LIU Chen,HAN Bing,FENG Hui,CHEN Qi-zhong,SUN Yi-yan.CT measurement and clinical application of double-row suture anchor reconstruction for the treatment of Tossy typeⅢ acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(4):353~355 |
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