自制改良定位器在喙锁韧带损伤镜下手术的应用
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厦门思明区第174医院

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厦门市思明区科技和信息化局资助项目


Clinical application of a self-made modified positioner in the operation of coracoclavicular ligament injury
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Success Affiliated Hospital of Xiamen University

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    摘要:[目的]探讨自制改良定位器在关节镜辅助下治疗喙锁韧带损伤手术中的影响。[方法]2019 年4月~2019 年 12 月,本院收治15例喙锁韧带损伤患者,其中男11例,女4例,平均年龄(30.50±5.45)岁,采用关节镜及自制改良定位器辅助下Endobutton 结合锚钉双重解剖技术重建喙锁韧带。所有患者均由同一名医生施行关节镜术。[结果]15例术后随访4~9个月,平均 (6.70±1.10) 个月,根据 ASES 评分、Constant-Murley 评分、UCLA 评分标准评估:优14例,良1例,优良率 100%。[结论]自制改良定位器在关节镜辅助下治疗的喙锁韧带损伤操作安全简便、隧道位置准确、术后较少发生隧道扩大、复位丢失、残留肩关节功能障碍。

    Abstract:

    Abstract: [Objective] To report the effect of self-made modified positioner by arthroscopic technique of coracoclavicular reconstruction in the patients for coracoclavicular ligament injury. [Methods] Between April 2019 and December 2019, 15 patients with coracoclavicular ligament injury underwent arthroscopic coracoclavicular reconstruction by Endobutton system in our department. Of them, including 11 males and 4 females with average age of (30.50±5.45) years. All the 15 patients received arthroscopic coracoclavicular reconstruction of improved Endobutton combined with anchors. [Results] The 15 patients were followed up for 4 to 9 months, with an average of (6.70±1.10) months. Bases on the ASES, Constant-Murley score and UCLA shoulder score, 14 patients were graded as excellent and 1 as good with overall excellent and good rate of 100%. [Conclusion] The self-made modified positioner is safe and convenient in the treatment of coracoclavicular ligament injury, with accurate tunnel position, less postoperative tunnel expansion, loss of reduction and safety, rapid recovery, less limited to glenohumeral joint mobility.

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  • 收稿日期:2020-06-04
  • 最后修改日期:2020-06-04
  • 录用日期:2020-08-06
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