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首页> 外文期刊>Journal of shoulder and elbow surgery >A cadaveric study examining acromioclavicular joint congruity after different methods of coracoclavicular loop repair.
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A cadaveric study examining acromioclavicular joint congruity after different methods of coracoclavicular loop repair.

机译：一项尸体研究，研究了在不同锁骨环修复方法后的肩锁关节全合。

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摘要

A basic principle in the treatment of joint injuries is to restore congruity with the hope that restoration may lessen the incidence of late arthritis. The acromioclavicular (AC) joint is frequently injured. Many AC joint injuries are treated nonoperatively; others are treated surgically. Coracoclavicular loop repair of the AC joint is believed to lead to anterior displacement of the clavicle relative to the acromion. This cadaveric study evaluated the effectiveness of three techniques of coracoclavicular loop repair in restoring AC joint congruity through measurement of anterior displacement. Fourteen shoulders were repaired by the three different techniques, all of which consisted of fixation through a drill hole in the clavicle and around the crook of the coracoid with a suture. The techniques only varied by the placement of the drill hole in the clavicle (ie, either posterior, middle, or anterior). The results of this study indicate that as the drill hole moved anteriorly on the clavicle, joint congruity was more closely approached and less anterior displacement of the clavicle occurred. However, none of the methods of coracoclavicular loop fixation restored full AC joint congruity.
机译：关节损伤治疗的基本原则是恢复一致性，希望恢复可以减少晚期关节炎的发生。肩锁关节（AC）经常受伤。许多AC关节损伤无法手术治疗。其他的则通过手术治疗。人们认为，AC关节的锁骨环修复会导致锁骨相对于肩峰前移。这项尸体研究通过测量前移评估了三种锁骨环修复技术在恢复AC关节全合中的有效性。通过三种不同的技术修复了十四个肩部，所有这些技术都包括通过缝合在锁骨中钻孔和围绕喙突弯曲处固定。这些技术仅因在锁骨中钻孔的位置（即后部，中部或前部）而有所不同。这项研究的结果表明，随着钻孔在锁骨上向前移动，关节的合拢更加紧密，锁骨的向前移位更少。但是，锁骨锁骨环固定方法均未恢复完全的AC关节全合。

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