摘要
目的探讨同种异体肌腱解剖重建喙锁韧带治疗肩锁关节脱位的临床疗效。方法采用同种异体肌腱解剖重建喙锁韧带治疗25例Ⅲ-Ⅵ型肩锁关节脱位患者,术后第1、6、12周复查X线片,采用疼痛VAS评分和肩关节功能UCLA评分评价术后肩关节功能。结果 25例均获得随访,时间4.5-19个月。X线检查证实肩锁关节脱位均完全复位,且未出现异体肌腱排异反应。疼痛VAS评分及肩关节功能UCLA评分：术后第1、6、12周与术前比较差异均有统计学意义（P〈0.05）;术后第6、12周与术后第1周比较差异均有统计学意义（P〈0.05）;术后12周与术后第6周比较差异无统计学意义（P〉0.05）。结论同种异体肌腱解剖重建喙锁韧带治疗肩锁关节脱位固定稳定,恢复关节功能,不损伤关节面,无肩峰撞击弊端,术后患者可以早期功能锻炼,无需二次手术,疗效满意。
Objective To explore the allogeneic tendon anatomic reconstruction of coracoclavicular ligament clinical curative effect for the treatment of acromioclavicular joint dislocation. Methods Allograft tendon anatomic reconstruction of coracoclavicular ligament were used to treat 25 cases with type Ⅲ - Ⅵ acromioclavicular joint dislocation patients. 1,6,12 weeks after operation,shoulder joint function after surgery was evaluated by VAS and UCLA with X-ray film. Results 25 patients had been followed up for 4. 5 - 19 months. X-ray examination confirmed the acromioclavicular joint dislocation were completely reconstructed,no appearance of tendon allograft rejection was found.Postoperative VAS and UCLA in 1,6,12 weeks score was compared with the preoperative,the difference had statistical significance（ P〈0. 05）; Postoperative 6 and 12 weeks was compared with postoperative 1 week,the difference had statistical significance（ P〈0. 05）; 12 weeks after surgery,there was no statistically significant difference compared with 6 weeks after surgery（ P〈0. 05）. Conclusions Allogeneic tendon anatomic reconstruction of coracoclavicular ligament fixation stability treatment of acromioclavicular joint dislocation,restore the joint function,don＇t damage the joint surface,no shoulder peak impact,can early functional exercise,postoperative patients without secondary surgery,curative effect is satisfied.
出处
《临床骨科杂志》
2015年第6期697-699,共3页
Journal of Clinical Orthopaedics
基金
苏州市科技发展计划项目(应用基础研究-医疗卫生
编号:SYSD2012004)
张家港市科技发展计划项目(编号:ZKS1214)
关键词
肩锁关节脱位
同种异体肌腱
喙锁韧带重建
the acromioclavicular joint dislocation
allogeneic tendon
coracoclavicular ligament reconstruction
