| 74 | 0 | 15 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:观察"人工LARs韧带"(简称LARs韧带)固定治疗肩锁关节急性TossyⅢ型(完全性)脱位的临床疗效。方法:选择第二军医大学长征医院2008年1月～2009年12月应用法国产LARs韧带治疗急性肩锁关节完全性脱位10例,所有病例均用LARs韧带固定、修复喙锁韧带。选择Karlsson肩关节功能评分。结果:经过术后6～12个月规律随访,术后2～3周所有病例肩锁关节功能基本恢复正常,优良率100%;术后X线拍片无肩锁关节再脱位;本组患者术后切口未出现明显疼痛、肿胀及渗液反应。结论:应用LARs韧带治疗肩锁关节急性完全性脱位可恢复解剖重建,恢复肩锁关节稳定性,有利于早期功能锻炼和肩关节功能恢复。
Abstract：Objective:To observe the curative effect of the ligament advancement reinforcement system(LARs)artificial ligaments in treatment of the acute dislocation of TossyⅢtype acromioclavicular joint.Methods:Ten cases with Tossy Ⅲ type acromioclavicular joint acute dislocation treated with LARs artificial ligaments(produced in France)in Changzheng Hospital,Second Military Medical University of Chinese PLA from January 2008 to December 2009 were selected.The broken coracoclavicular ligament was repaired directly by LARs artificial ligaments in all cases.The outcomes were evaluated according to Karlsson′s criteria.Results:All cases were followed up for 6 to 12 months,and all dislocated acromioclavicular joints returned to normal 2-3 weeks after operation.Excellent and good rate of shoulder function was 100% according to Karlsson standard.X-ray imaging showed all acromioclavicular joints had no redislocation.All cases had no obvious pain,swelling or exudation.Conclusions:The anatomical reconstruction and the stability of acromioclavicular joint dislocation can be obtained after operation with LARS artificial ligaments.It is also helpful in early exercise and recovery of shoulder joint function.
1王亦璁,孟继懋,郭子恒.骨与关节损伤[M].第3版.北京:人民卫生出版社,2005.533.
2郭瑛,陈青娥,黄智,等.肩锁关节脱位4种内固定方法的疗效比较[J].海南医学院学报,2008,14(6):682-684.
3肖海军,侯春林,陈爱民,等.钛缆固定治疗肩锁关节脱位和锁骨远端骨折37例[J].中国组织工程研究与临床康复,2007,11(34):6866-6867.
4薛亮.锁骨钩钢板治疗肩锁关节脱位32例分析[J].实用临床医药杂志,2007,11(4):120.
5胥少汀,葛宝丰,徐印坎,等.实用骨科学[M].第3版.北京:人民军医出版社,2008.411-412.
6翁益平.肩锁钢板治疗急性Ⅲ度肩锁关节脱位及锁骨远端骨折[J].实用临床医药杂志,2007;,11(5):148-149.
7 Tossy JD,Mead NC,Sigmond HM.Acromio-clavicu-lar separations;useful and practical classification fortreatment[J].Arch Orthop,1963,28:111-119.
8 Rockwood CA,Young DC.Disorders of the acromio-clavicular joint.The shoulder[M].Philadelphia:WBSaunders,2004.521-596.
9 Karlsson J,Amarson H,Sigurjonsson K.Acromiocla-vicular dislocations treated by coracoacromial ligamenttransfer[J].Arch Orthop Trauma Surg,1986,106(1):8-11.
10 Flinkkila T,Ristiniemi J,Hyvonen P,et al.Surgical treat-ment of unstable fractures of the distal clavicle:a compara-tive study of Kirschner wire and clavicular hook plate fixa-tion[J].Acta Orthop Scand,2002,73(1):50-53.
11刘玉杰,敖英芳,陈世益.膝关节韧带损伤修复与重建[M].北京:人民卫生出版社,2008.118-123.
12 Iannace S,Sabatini G,Ambrosio L,et al.Mechanical be-haviour of composite artificial tendons and ligaments[J].Biomaterials,1995,16(9):675-680.
13张弛.纤维连接蛋白表面修饰后聚酯纤维韧带细胞相容性的变化[J].中国组织工程研究与临床康复,2007,31:6149-6154.
14 Harris RI,Wallace AL,Harper GD,et al.Structuralproperties of the intact and the reconstructed coracocla-vicular ligament complex[J].Am J Sports Med,2000,28:103-108.
15 Baker JE,Nicandri GT,Young DC,et al.A cadavericstudy examining acromioclavicular joint congruity afterdifferent methods of coracoclavicular loop repair[J].Shoulder Elbow Surg,2003,12:595-598.
16牛维,龚建文,张百档.Ⅲ型肩锁关节脱位55例手术疗效分析[J].临床骨科杂志,2005,8(5):417-418.
17 Nau T,Duval N,Lavoie P.A new generation of artifi-cial ligaments in reconstruction of the ACL[J].JBJSEng,2002,4:356-360.
18张文强,王成琪,唐胜建,等.单束单隧道与双束双隧道重建前交叉韧带的生物力学对比研究[J].中国矫形外科杂志,2006,14:757-759.
19 Fialka C,Stampfl P,Oberleitner G,et al.Traumaticacromioclavicular joint separation-Current concepts[J].Eur Surg,2004,36(1):20-24.
基本信息:
DOI：10.13210/j.cnki.jhmu.2010.11.022
中图分类号:R687.3
引用信息:
[1]霍仁斌,陈爱民.LARs人工韧带治疗肩锁关节急性完全性脱位的临床观察[J].海南医学院学报,2010,16(11):1446-1448.DOI:10.13210/j.cnki.jhmu.2010.11.022.
基金信息:
海南医学院科研基金资助学报项目(0020100400)~~
2010-10-26
2010-10-26
2010-10-26