肩锁关节重建失败的翻修手术技术

IF 4.5 Q1 EDUCATION & EDUCATIONAL RESEARCH

Techniques in Shoulder and Elbow Surgery Pub Date : 2020-05-08 DOI:10.1097/BTE.0000000000000190

P. Robinson, S. Kanthasamy, L. Funk

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引用次数: 0

摘要

肩锁关节（ACJ）断裂的手术稳定没有“金标准”技术，并且所描述的每种技术都有失败率。ACJ稳定失败的管理是一个难题，抢救程序可能经常受到原始程序和最终解剖结构的限制。因此，需要可靠的解剖和生物力学稳健的ACJ稳定失败的翻修手术。我们描述了一种ACJ的翻修稳定技术，该技术利用合成韧带结合从喙肩韧带和二头肌短头神经官能症（“二头肌翻转”程序）中扩增。

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A Surgical Technique for Revision of Failed Acromioclavicular Joint Reconstruction

There is no “gold standard” technique for the surgical stabilization of acromioclavicular joint (ACJ) disruptions and each of the described techniques has a failure rate. The management of failed ACJ stabilizations is a difficult problem and salvage procedures may often be constrained by the original procedure and the resultant anatomy. Reliable anatomic and biomechanically robust revision procedures for failed ACJ stabilization are therefore required. We describe a technique for revision stabilization of the ACJ that utilizes a synthetic ligament in combination with augmentation from the coracoacromial ligament and biceps short head aponeurosis (“biceps flip” procedure).

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来源期刊

Techniques in Shoulder and Elbow Surgery ORTHOPEDICS-

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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.