摘要
目的 观察掌长肌腱在重建喙锁韧带治疗肩锁关节脱位中的应用疗效。方法 本组 2 4例均为Allman分型中的Ⅲ度损伤 ,全部采用取同侧掌长肌腱重建喙锁韧带 ,再用两枚克氏针交叉固定肩锁关节治疗 ,术后三角巾悬吊固定 4周 ,8周后拔除克氏针。结果 经 1 0个月～ 3年的随访 ,根据Karlsson疗效评价标准 :A级 2 0例 ,B级 4例。病人均能正常的工作、生活。结论 掌长肌腱是重建喙锁韧带良好的自身材料 ,该方法操作简单、创伤小、固定牢固、可早期活动 ,是治疗肩锁关节脱位的有效方法。
Objective To observe the effect on treatment of acromioclavicular joint dislocation by tendon palmaris longus for reconstructing costocoracoid ligament.Methods All of 24 cases were Ⅲ type classified by Allman.All the patients were treated with ipsilateral tendon palmaris longus for reconstructing coracoclavicular ligament and the acromioclavicular joint was fixated with two across Kirschner pins.Hanging triangular bandage was used for 4 weeks.Eight weeks later the Kirschner pins were removed.Results They were followed-up for 10 months to 3 years.According to Karlsson,20 cases were A type,4 cases B type.All patienes had a normal life,could to do work as well.Conclusion The tendon palmaris longus is a good reconstruction materal.The new method has advantages of minimizing trauma,simple procedure and strong fixation allowing early mobilization,It is an effetive method for treatment of acromioclavicular joint dislocation.
出处
《骨与关节损伤杂志》
2004年第6期364-366,共3页
The Journal of Bone and Joint Injury
