锚泊定位法内固定治疗肩锁关节脱位的术式设计-解放军医学院学报.PDFVIP

解放军医学院学报 Acad J Chin PLA Med Sch Jul 2018，39（7） 585 “锚泊定位”法内固定治疗肩锁关节脱位的术式设计及应用 沈影超，王　强，缪逸鸣，陈　俊，蒋晓伟 常熟市中医院 骨科，江苏常熟　215500 摘要：目的 以“锚泊定位”原理设计肩锁关节脱位手术术式，探索肩锁关节脱位的复位和生物学固定方式。方法 根据“锚 泊定位”原理，建立以“撬拨复位、牵引复位、悬挂式双重固定修复喙锁韧带、捆绑式固定修复肩锁韧带”为核心的复位 内固定技术，治疗 2014 年 8 月 - 2016 年 3 月在常熟市中医院住院的 Rockwood Ⅲ、Ⅳ和Ⅵ型肩锁关节脱位 15 例，其中男 10 例，女 5 例，20 ~ 45 岁，平均 35.2 岁。结果 术后随访 10 ~ 12 个月，按 Karlsson 标准评价疗效，13 例为优，2 例为良， 优良率为 100% ；未发现并发症。结论 以“锚泊定位”原理指导 Rockwood Ⅲ、Ⅳ和Ⅵ型肩锁关节脱位，临床效果良好， 为治疗肩锁关节脱位提供了一种可选择的新方法。 关键词 ：锚泊定位 ；肩锁关节脱位 ；肩锁韧带 ；喙锁韧带 中图分类号 ：R 687.3　文献标志码 ：A　文章编号 ：2095-5227(2018)07-0585-04　DOI ：10.3969/j.issn.2095-5227.2018.07.010 网络出版时间：2018-03-22 10:26　　　 网络出版地址 ：/kcms/detail/10.1117.R1026.004.html Development and application of anchor mooring positioning surgery technique for dislocation of shoulder joint SHEN Yingchao, WANG Qiang, MIAO Yimin, CHEN Jun, JIANG Xiaowei Department of Orthopedic Surgery, Changshu Hospital of TCM, Changshu 215500, Jiangsu Province, China Corresponding author: WANG Qiang. Email: luntan 100 @ Abstract: Objective To explore the restoration and biological fixation of shoulder j oint dislocation in patients with shoulder- locking j oint dislocation by surgical technique with anchor positioning principle. Methods According to the principle of anchor positioning, the prying reset, traction, hanging double fixed prosthesis beak lock ligaments, bundled fixed prosthesis acromioclavicular ligament were established as the core of the reduction and internal fixation technique, and it was applied to 15 cases with Rockwood Ⅲ , Ⅳ and Ⅵ acromioclavicular j oint dislocation who were treated in our hospital from August 20 14 to March 20 16. Of the 15 cases, there were 10 males and 5 females with average age of 35.2 years (ranging from 20-45 years). Results The postoperative follow-up ranged from 10 to 12 months. According to the Karlsson standard, excellent outcome was achieved in 13 cases and good in 2 cases