独立关节镜辅助肩锁韧带重建:一项新技术

IF 4.5 Q1 EDUCATION & EDUCATIONAL RESEARCH Techniques in Shoulder and Elbow Surgery Pub Date : 2019-06-01 DOI:10.1097/BTE.0000000000000165
R. Aveledo, Daniel K Ibrahim, P. Lam, Oliver G. C. Murrell, G. Murrell
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引用次数: 0

摘要

大量的手术技术已经描述了肩锁关节(AC)脱位。大多数是基于喙锁韧带的重建。这些技术为ACJ提供了垂直稳定性和高强度。并发症率。材料技术和植入物的进步使我们能够开发出一种外科技术方法来治疗ACJ脱位,这种方法在垂直和水平面上都提供了关节的稳定性,只重建了AC韧带。在关节镜控制下,在肩峰处钻两个孔。然后,2条带式缝合线穿过这些孔,用锚钉固定在锁骨远端,形成缝合桥结构。
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Independent Arthroscopy-assisted Acromioclavicular Ligament Reconstruction: A Novel Technique
A large number of surgical techniques have been described for acromioclavicular (AC) joint (ACJ) dislocations. Most are based on the reconstruction of the coracoclavicular ligaments. These techniques provide the ACJ with vertical stability and have a high. complication rate. Advances in material technology and implants have allowed us to develop a surgical, technique approach to treat ACJ dislocations, that provides this joint with stability in both, vertical and horizontal planes, reconstructing only the AC ligaments. Two drilled holes are made in the acromion under arthoscopic control. Then, 2 tape-type sutures are passed through these holes and fixed to the distal clavicle with anchors, in a suture bridge configuration.
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期刊介绍: Published quarterly, Techniques in Shoulder & Elbow Surgery escorts the reader into the operating room and supplies step-by-step details of exciting and advanced techniques. It explains the evolution of and rationale for the procedures, identifies the pitfalls and possible complications, provides invaluable tips for improving surgical results and it is illustrated cover to cover with high-quality intraoperative photographs and drawings, many in full color.
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