| 微创治疗重度肩锁关节脱位合并喙突骨折 |
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Received:August 24, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 荆兆峰 |
JING Zhao-feng |
日照市中医医院骨二科,山东 日照 276800 |
The Second Department of Orthopaedics,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,Shandong,China |
jingrizhao163@163.com |
| 赵以瑜 |
ZHAO Yi-yu |
日照市中医医院骨二科,山东 日照 276800 |
The Second Department of Orthopaedics,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,Shandong,China |
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| 王瑞国 |
WANG Rui-guo |
日照市中医医院骨二科,山东 日照 276800 |
The Second Department of Orthopaedics,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,Shandong,China |
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| 王国宗 |
WANG Guo-zong |
日照市中医医院骨二科,山东 日照 276800 |
The Second Department of Orthopaedics,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,Shandong,China |
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| 滕立玲 |
TENG Li-ling |
日照市中医医院骨二科,山东 日照 276800 |
The Second Department of Orthopaedics,Rizhao Traditional Chinese Medicine Hospital,Rizhao 276800,Shandong,China |
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| 期刊信息：《中国骨伤》2010年23卷，第1期，第46-48页 |
| DOI：10.3969/j.issn.1003-0034.2010.01.014 |
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目的：探讨重度肩锁关节脱位合并喙突骨折的诊断和微创手术治疗方法。
方法：1998年3月至2009年3月，7例重度肩锁关节脱位合并喙突骨折患者，采用肩部双切口显露固定喙突和肩锁关节，修复损伤的肩锁韧带治疗。其中男2例，女5例；年龄23～57岁，平均44岁；受伤至手术时间3～7 d,平均4 d.Eyres分型：ⅡB型2例，ⅢB型5例。
结果：7例患者均获得随访，时间6个月～2年，平均1年。按Karlsson疗效评定标准进行疗效评定，7例均为A级。
结论：双切口微创手术显露肩锁关节和喙突并行肩锁关节和喙突双重固定，手术目的针对性强，固定可靠，组织损伤小，是一种微创有效的治疗方法。 |
| [关键词]:肩锁关节 脱位 喙突骨折 外科手术，微创性 |
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| Minimally invasive surgery to treat severe acromioclavicular dislocation combined with coracoid process fracture |
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Abstract:
Objective: To discuss the diagnosis and minimally invasive surgical treatment on severe acromioclavicular dislocation combined with coracoid process fracture.
Methods: Using 2 incisions of shoulder to expose and fix coracoid process and acromioclaricular joint and to repair damaged acromioclavicular ligament in 7 cases from March 1998 to March 2009. There was 2 males and 5 females in the patients. The age was from 23 to 57 years with an average of 44 yeas. The time from injury to operation was 3-7 d with an average of 4 days. According to Eyres typing,2 cases were type ⅡB,5 cases were type ⅢB.
Results: Seven patients were followed up from 6 months to 2 years with an average of 1 year. According to Karlsson criteria,7 cases got grade A.
Conclusion: Using 2 incisions of shoulder to expose and fix acromioclaricular joint and coracoid process with strong pertinence,reliable fixation and small tissue injury,which is a minimally invasive and effective method for severe acromioclavicular dislocation combined with coracoid process fracture. |
| KEYWORDS:Acromioclavicular joint Dislocations Coracoid process fracture Surgical procedures,minimally invasive |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 荆兆峰,赵以瑜,王瑞国,王国宗,滕立玲.微创治疗重度肩锁关节脱位合并喙突骨折[J].中国骨伤,2010,23(1):46~48 |
| 英文格式: | JING Zhao-feng,ZHAO Yi-yu,WANG Rui-guo,WANG Guo-zong,TENG Li-ling.Minimally invasive surgery to treat severe acromioclavicular dislocation combined with coracoid process fracture[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(1):46~48 |
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