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Two patients with acromioclavicular joint dislocation recurrence were excluded, and coracoclavicular ligament therapy was not performed.

取出内固定后肩关节脱位复发2例,均未行喙韧带修复。

Key words] acromioclavicular dislocation;internal fixation;coracoclavicular ligament

关键词]肩关节脱位;内固定;喙韧带重建

Conlusion it is unnecessary to suture the coracoclavicular ligament after clavicular hook plate fixation in treating acromioclavicular dislocation.

骨钩钢板内固定治疗肩关节脱位手术中喙韧带的缝合不是必需的。

Conlusion It is unnecessary to suture the coracoclavicular ligament after clavicular hook plate fixation in treating acromioclavicular dislocation.

骨钩钢板内固定治疗肩关节脱位手术中喙韧戴的缝合不是必需的。

Methods From March 2002 to January 2006, 41 patients with Tossy type Ⅲ aeramiaclavicular dislocation were treated with AO/ASIF clavicular honk plates. The coracoclavicular ligaments were sutured in 15 eases, and the plates were removed 12 months postoperatively in 18 patients.

自2002年3月~2006年1月使用AO/ASIF骨钩钢板治疗41例Tossy Ⅲ型肩关节脱位患者,其中15例术中修补了喙韧带,18例在平均术后1年取出钢板。

Reconstructed coracoclavicular ligament by allogenous tendon has good material intensity, and can meet the requirements of local stress, better substitute integrity and function of coracoclavicular ligament. Moreover, it has precise effect and simple operation. It acts as long-term fixator following plate removal, thus is important supplement of clavicular crook plate fixation.

采用异体肌腱重建的喙韧带经过重塑形而成熟,具有较好的材料强度,能满足局部应力要求,能较好地替代喙韧带的完整性及功能,效果确切,操作简便,在去除钢板后发挥永久固定作用,是骨钩钢板固定的重要补充。

Methods: Nine patients underwent coracoclavicular ligament reconstruction using augmented cadaveric semitendinosus tendon allografts after a grade V acromioclavicular separation.

9例V度肩关节分离患者接受同种异体半腱肌移植重喙韧带术。

Methods Seventeen cases of severe acromioclavicular dislocation received open reduction and clavicular hook plate fixation,the coracoclavicular ligaments were reconstructed by freeze allogentic tendons,and physiological state was evaluated before operation,so as to eliminate dread mentation psychology and match the treatment.

17例肩关节脱位患者采用骨钩钢板固定,同时利用新鲜冰冻异体肌腱移植重建喙韧带,术前进行护理评估,针对患者特点做好心理护理和准备工作,消除患者的恐惧紧张心理,使患者主动配合手术治疗。

Methods: 37 patients with distal clavicle fracture were treated with three different methods, 1 fixation by AO plate (20 cases), and 2 reconstructed coracoclavicular ligament by using Ethibond 5# suture (8 cases), 3 reconstructed coracoclavicular ligament by using suture anchor (9cases a).

对37例骨远端骨折患者分别采用骨钩钢板固定;切开复位并用ETHIBOND 5#线穿过喙突固定于骨骨折近端以重建喙韧带;切开复位后在喙突上置入2枚缝合锚,锚尾端的缝线固定于骨骨折近端以重建喙韧带三种不同手术方法进行治疗。

Outcome for coracoclavicular ligament reconstructions using augmented semitendinosus tendon grafts was excellent with full recovery of strength, minimal range of motion loss, and no clinical or radiographic loss of reduction of the acromioclavicular joint.

用半腱肌移植重建喙韧带有着良好的临床效果。术后无肌力、肩关节活动范围、肩关节复位丢失等现象。

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