肩锁关节脱位悬吊袢钢板固定术后再脱位原因与对策
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陆军第七十三集团军医院

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The causes and countermeasures of acromioclavicular joint redislocation after suspension loop plate surgery
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Department of Orthopedics, Chenggong Hospital, Xiamen University, Xiamen 361003, China

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    摘要:

    [目的]分析关节镜下悬吊袢钢板治疗肩锁关节脱位术后再脱位的原因。[方法] 采用关节镜下悬吊袢钢板技术治疗36例肩锁关节脱位患者,跟踪随访术后复位丢失例数并分析其具体原因。[结果]所有患者均随访6个月以上,其中术后再脱位3例,原因:骨质疏松1例;过早负重1例;骨隧道不佳1例;术后6个月Constant-Murley 评分(90.04±2.90),ASES 评分(81.04±3.49)分[结论]肩锁关节术后再脱位是肩关节镜下悬吊袢钢板治疗肩锁关节脱位严重术后并发症,原因包括骨质疏松、过早负重、骨隧道不佳等等,临床上值得重视。 关键词:肩锁关节脱位,术后再脱位

    Abstract:

    [Objective] To analyze the causes of redislocation of acromioclavicular joint after arthroscopic suspension loop plate surgery. [Methods] 36 patients with acromioclavicular dislocation were treated with suspension loop plate under arthroscope. The cases of postoperative reduction loss were followed up and the specific reasons were analyzed. [Results] All patients were followed up for more than 6 months, among which 3 cases were redislocated after operation, the cause was osteoporosis in 1 case; Premature weight bearing in 1 case; Poor bone tunnel in 1 case; Constant-murley score was (90.04±2.90) and ASES score was (81.04±3.49) 6 months after surgery.[Conclusion] Acromioclavicular joint redislocation after surgery is a serious postoperative complication of shoulder arthroscopic suspension loop plate treatment for acromioclavicular joint dislocation. The reasons include osteoporosis, premature weight bearing, poor bone tunnel, etc., which is worthy of clinical attention.

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  • 收稿日期:2022-05-15
  • 最后修改日期:2022-05-15
  • 录用日期:2022-09-02
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