| 带肩峰骨瓣喙肩韧带转移修复喙锁韧带治疗Ⅲ度肩锁关节脱位 |
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Received:September 20, 2004
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| 作者 | Author | 单位 | Unit | E-Mail |
| 彭国栋 |
PENG Guo-dong |
青岛市市立医院骨科,山东青岛266011 |
Department of Orthopaedics,Qingdao Municipital Hospital,Qingdao 266011,Shandong,China |
pengguodong@medial.com.cn |
| 张云飞 |
ZHANG Yun-fei |
海军401医院手外科 |
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| 林勇 |
LIN Yong |
青岛市市立医院骨科,山东青岛266011 |
Department of Orthopaedics,Qingdao Municipital Hospital,Qingdao 266011,Shandong,China |
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| 历强 |
LI Qiang |
青岛市市立医院骨科,山东青岛266011 |
Department of Orthopaedics,Qingdao Municipital Hospital,Qingdao 266011,Shandong,China |
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| 期刊信息：《中国骨伤》2005年18卷，第11期，第655-657页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨手术治疗Ⅲ度肩锁关节脱位的新方法。
方法:2000年8月-2004年3月收治TossyⅢ度肩锁关节脱位14例,男10例,女4例;年龄17~54岁,平均42.5岁;新鲜脱位9例,陈旧脱位5例。采用带肩峰骨瓣喙肩韧带转移修复喙锁韧带加内固定治疗,其中采用锁骨钩钢板固定6例,骨片钉固定8例。
结果:所有患者经过3个月~3年（平均2.4年）随访,根据Karlsson评定标准:A级9例,B级5例。
结论:喙肩韧带替代喙锁韧带确保肩锁关节的稳定,骨瓣与锁骨固定愈合较韧带与骨愈合更可靠,手术操作简单,功能恢复快。 |
| [关键词]:肩锁关节 脱位 喙肩韧带 修复外科手术 |
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| Transposition grafting of coracoacromial ligament with acromion bone flap to reconstruct coracoclavicular ligament in treatment of type Ⅲ acromioclavicular joint dislocation |
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Abstract:
Objective: To explore a new surgical method for treatment of Tossy type Ⅲ acromioclavicular joint dislocation.
Methods:From Aug 2000 to March 2004,14 patients(10 male,4 female,the average age of 42.5 years ranging in age from 17 to 54 years)with type Ⅲ acromioclavicular joint dislocation(fresh in 9 cases,old in 5 cases)were treated by transposition grafting of coracoacromial ligament with acromion bone flap to reconstruct coracoclavicular ligament and fixation including clavicle hook plate in 6 cases and spicular pins in 8 cases.
Results:All patients were followed up for an average time of 2.4 years(from 3 months to 3 years).According to the standard of Karlsson,the result were excellent and good(Grade A) in 9 cases and fair(Grade B) in(5 cases.)
Conclusion:Coracoacromial ligament instead of coracoclavicular ligament ensure the stability of acromioclavicular joint.Healing of fixing with bone flap and clavicle is more reliable than that of ligament and bone.The operative procedure is simple and the function recovery is fast. |
| KEYWORDS:Acromioclavicular joint Dislocation Coracoacromial ligament Reconstructive surgical procedures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 彭国栋,张云飞,林勇,历强.带肩峰骨瓣喙肩韧带转移修复喙锁韧带治疗Ⅲ度肩锁关节脱位[J].中国骨伤,2005,18(11):655~657 |
| 英文格式: | PENG Guo-dong,ZHANG Yun-fei,LIN Yong,LI Qiang.Transposition grafting of coracoacromial ligament with acromion bone flap to reconstruct coracoclavicular ligament in treatment of type Ⅲ acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(11):655~657 |
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