急性肩锁关节脱位的全内窥镜治疗:肩锁关节双Cerclage EndoButton技术和使用肩锁韧带稳定肩锁关节

IF 1.2 Q3 ORTHOPEDICS
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引用次数: 0

摘要

高度肩锁关节(ACJ)脱位可通过手术治疗。利用内窥镜技术,采用EndoButton缝合技术固定肩锁关节(CC),已被证明是安全和可重复的。多项研究表明,稳定 ACJ 有利于减少术后水平不稳定性。本技术说明介绍了一种治疗急性 ACJ 脱位的全内窥镜技术,该技术使用双股 EndoButton cerclage 技术进行 CC 重建,并使用额外的 Coracoacromial 韧带转移进行肩锁关节重建。将自体肩锁韧带转移到锁骨外侧可增加水平面的稳定性,降低前后复发性不稳定的风险。临床研究需要证明,除了全内窥镜双cerclage EndoButton CC稳定技术外,额外的ACJ固定是否真的有益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
All-Endoscopic Treatment of Acute Acromioclavicular Joint Dislocation: Coracoclavicular Double Cerclage EndoButton Technique and Acromioclavicular Stabilization Using the Coracoacromial Ligament

High-grade the acromioclavicular joint (ACJ) dislocations can be treated surgically. Endoscopic techniques to stabilize the ACJ using an EndoButton suture technique for coracoclavicular (CC) fixation have been shown to be safe and reproducible. Several studies have demonstrated the benefit of stabilizing the ACJ to reduce postoperative horizontal instability. This Technical Note presents a full-endoscopic technique for acute ACJ dislocations using a double-stranded EndoButton cerclage technique for CC reconstruction and an additional coracoacromial ligament transfer for acromioclavicular reconstruction. An autologous coracoacromial ligament transfer to the lateral clavicle increases stability in the horizontal plane and reduces the risk of anteroposterior recurrent instability. Clinical studies need to show whether additive ACJ fixation in addition to the all-endoscopic double cerclage EndoButton CC stabilization technique is in fact beneficial.

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Arthroscopy Techniques
Arthroscopy Techniques ORTHOPEDICS-
CiteScore
2.10
自引率
33.30%
发文量
291
审稿时长
29 weeks
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