应用缝合锚结合联合腱外侧半肌腱重建喙锁韧带治疗肩锁关节脱位

目的：观察治疗肩锁关节脱位的不同手术方式的治疗效果，以确定最佳的手术方法。方法：将60例肩锁关节脱位病人随机分为治疗组和对照组，分别采用缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动的治疗方法及克氏针张力带内固定方法，术后3个月及6个月对患者进行JOA总体情况评定、JOA评分比较、肩锁关节疼痛VAS评定情况比较及安全性评价。结果：应用缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动治疗肩锁关节脱位3个月及6个月后JOA总体评定情况结果及JOA评分结果优于克氏针张力带治疗方法；应用缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动治疗肩锁关节脱位3个月及6个月后肩锁关节疼痛程度均轻于同时期克氏针张力带治疗方法。结论：缝合锚结合联合腱外侧半肌腱反转移位重建喙锁韧带辅助颈腕吊带制动治疗肩锁关节脱位是一种安全有效的临床治疗方法。

Suture Anchors Joint Proximally Based Conjoined Tendon Transfer for Coracoclavicular Ligament Reconstruction in Treatment of Acromioclavicular Separation

Objective： To determine the best operation treating acromioclavicular, through different treatment effect by different operation way. Methods： 60 acromioclavicular separation patients were divided randomly into the two groups as follows： the treatment group which were treated by suture anchors combining proximally based conjoined tendon transfer for coracoclavicular ligament reconstruction in treatment of acromioclavicular separation and the control group which were treated by operation with Kirscimer wires and tension band inner fixation. The evaluation of treatment effect were maked at 3 and 6 months after the treatment for every patient, including the total evaluation by JOA, the comparison by OA score, Pain score according to the VAS, and the safety evaluation. Results： The total evaluation by JOA and the comparison by JOA score were showed that the treatment group were better than the control group （P〈0.05） and the joint pain in the treatment group is lighter than that in the control group at 3 and 6 months after the treatment the blank control model group （P〈0.05）. Conclusion： It is a effective and safe method that using suture anchors combining Proximally based conjoined tendon transfer for coracoclavicular ligament reconstruction separation treat acromioclavicular separation.