张传开;韩冰;冯晖;王德广;赵日光;陈烁;

• 1:解放军第97医院南京军区创伤重建中心
• 2:江苏徐州医学院解剖学教研室

摘要(Abstract)：

[目的]为双锚钉固定修复新鲜肩锁关节脱位提供生物力学依据。[方法]10具成人肩部标本,将周围软组织剔除仅保留喙锁韧带连接喙突与锁骨,分别进行韧带破坏荷载、单枚带线锚钉固定力学测试及双枚带线锚钉固定力学测试。[结果]喙锁韧带断裂载荷(413.0±123.48)N,1枚锚钉组失效载荷(345.1±111.23)N,2枚锚钉组失效载荷(465.3±100.64)N。[结论]双枚带线锚钉固定修复肩锁关节脱位的力学强度与原喙锁韧带的力学强度相当。临床应用12例,均获满意效果。

关键词(KeyWords)： 带线锚钉;生物力学;肩锁关节;脱位

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金资助项目(编号:81301582)

作者(Author): 张传开;韩冰;冯晖;王德广;赵日光;陈烁;

Email:

DOI:

参考文献(References)：

• [1]Babhulkar A,Pawaskar A.Acromioclavicular joint dislocations[J].Curr Rev Musculoskelet Med,2014,7(1):33-39.
• [2]Acdonlad P,Sunner P,Dyck M.A follow-up of surgical treatment of typeⅢAC dislocations[R].Paper presented at:the closed ASES meeting,2006.
• [3]Takase K,Yamamoto K.Changes in surgical procedures for acromioclavicular joint dislocation over the past 30 years[J].Orthopedics,2013,36(10):1277-1282.
• [4]曹前来,张磊,韦飞,等.AO/ASIF锁骨钩钢板治疗肩锁关节全脱位及锁骨远端不稳定骨折中的应用[J].中国矫形外科杂志,2004,12(23):1829-1831.
• [5]赵友明,洪汝康,王振文.重度肩锁关节脱位的手术治疗[J].中国骨伤,2001,14(4):202-203.
• [6]Nissen CW,Chatterjee A.Type III acromioclavicular separation:results of a recent survey on its management[J].Am J Orthop(Belle Mead NJ),2007,36(2):89-93.
• [7]林朝晖,林凤飞,郑明,等.线缆重建喙锁韧带治疗肩锁关节脱位[J].中国骨与关节损伤杂志,2011,26(9):827-828.
• [8]陈芒芒,叶秀云,倪跃平,等.带袢钢板重建喙锁韧带治疗急性肩锁关节脱位[J].中国骨伤,2011,24(3):189-191.
• [9]Grutter PW,Petersen SA.Anatomical acromioclavicular ligament reconstruction:a biomechanical comparison of reconstructive techniques of the acromioclavicular joint[J].Am J Sports Med,2005,33(11):1723-1728.
• [10]Salzmann GM,Paul J,Sandmann GH,et al.The coracoidal insertion of the coracoclavicular ligaments:an anatomic study[J].Am J Sports Med,2008,36(12):2392-2397.
• [11]Beitzel K,Obopilwe E,Apostolakos J,et al.Rotational and translational stability of different methods for direct acromioclavicular ligament repair in anatomic acromioclavicular joint reconstruction[J].Am J Sports Med,2014,42(9):2141-2148.
• [12]陈启明,梁国穗.骨关节肌肉系统生物学和生物力学[M].2版.北京:人民卫生出版社,2001:519.
• [13]Shin SJ,Campbell S,Scott J,et al.Simultaneous anatomic reconstruction of the acromioclavicular and coracoclavicular ligaments using a single tendon graft[J].Knee Surg Sports Traumatol Arthrosc,2014,22(9):2216-2222.