摘要
背景:如何重建喙锁韧带,使之更加符合肩锁关节的生物力学特点,又不需要行内固定取出,是学者们一直在思考的问题。目的:探讨2枚带线锚钉重建喙锁韧带治疗TossyⅢ型肩锁关节脱位的临床疗效。方法:2012年1月至2016年7月使用2枚带线锚钉重建喙锁韧带治疗TossyⅢ型肩锁关节脱位患者18例,全部病例随访1年,在治疗前以及治疗后1周、2个月、1年拍摄X射线片并测量肩锁关节锁骨端间隙;治疗前及治疗后1年使用Neer评分对其肩关节功能进行评估。结果与结论:(1)与治疗前相比,治疗后1周肩锁关节锁骨端间隙减小,差异有显著性意义(P<0.05);与治疗后1周相比,治疗后2个月肩锁关节锁骨端间隙增大,差异有显著性意义(P<0.05);治疗后2个月和治疗后1年相比,差异无显著性意义(P>0.05);治疗后2个月患侧与健侧相比,差异无显著性意义(P>0.05)。治疗后1年患侧与健侧相比,差异无显著性意义(P>0.05);(2)与治疗前相比,治疗后1年Neer评分增加,差异有显著性意义(P<0.05);(3)结果可见,使用2枚直径为5 mm的带线锚钉重建喙锁韧带治疗TossyⅢ型肩锁关节脱位可以获得满意的临床疗效。
BACKGROUND： How to reconstruct the rostral clavicular ligament to make it more suitable for the biomechanical characteristics of acromioclavicular joint and do not need to remove the internal fixator is a problem that scholars have been thinking about. OBJECTIVE： To explore the clinical effect of two anchors to reconstruct coracoclavicular ligament in treatment of Tossy Ⅲ acromioclavicular joint dislocation. METHODS： Eighteen patients with Tossy Ⅲ acromioclavicular joint dislocation were treated with two anchors to reconstruct coracoclavicular ligament from January 2012 to July 2016. All patients were followed up for 1 year. Acromioclavicular clavicle end gap was measured using X-ray films before treatment, 1 week, 2 months and 1 year after treatment. Shoulder joint function was evaluated by the Neer scoring system before treatment and 1 year after treatment. RESULTS AND CONCLUSION：（1） Acromioclavicular clavicle end gap significantly reduced between the preoperation and 1 week after surgery（P 〈 0.05）. Acromioclavicular clavicle end gap significantly enlarged between 1 week and 2 months after surgery（P 〈 0.05）. There was not statistically significant difference in the gap between 2 months after surgery and 1 year after surgery（P 〉 0.05）. There was not statistically significant difference in the gap between injured and uninjured sides 2 months after surgery（P 〉 0.05）. There was not statistically significant difference in the gap between injured and uninjured sides 1 year after surgery（P 〉 0.05）.（2） Neer scores significantly increased 1 year after surgery compared with that before surgery（P 〈 0.05）.（3） These findings confirmed that coracoclavicular ligament reconstruction using two 5 mm-diameter anchors in treatment of Tossy Ⅲ acromioclavicular joint dislocation can obtain satisfactory effect.
作者
韩冰
张传开
刘宏滨
孙燚炎
赵日光
王和洪
王颖
Han Bing;Zhang Chuan-kai;Liu Hong-bin;Sun Yi-yan;Zhao Ri-guang;Wang He-hong;Wang Ying(Department of Orthopedics,the 97 Hospital of Chinese PLA,Xuzhou 221004,Jiangsu Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2018年第23期3615-3620,共6页
Chinese Journal of Tissue Engineering Research
