结合的关节板和 Coracoid 螺丝固定用于 Coracoid 过程骨折与 Acromioclavicular 关节脱位相关的关节骨折
Bong Gun Lee1, Young Seok Lee2, Chang-Hun Lee1
1Department of Orthopaedic Surgery, Hanyang University College of Medicine, 222 Wangsimni-ro, Seoul 04763, Republic of Korea.
Medicina (Kaunas, Lithuania)
|January 28, 2026
概括
使用关节板和关节螺丝,同时手术固定心肌过程 (CP) 骨折和关节 (AC) 关节脱位,实现了出色的骨愈合和关节稳定性. 这种方法导致了有利的临床结果,并使患者恢复日常活动.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 运动医学 运动医学
背景情况:
- 冠状动脉过程 (CP) 骨折与关节 (AC) 关节脱位相结合是罕见的损伤.
- 仅有有限的证据证明这些联合伤害的最佳手术管理.
研究的目的:
- 评估CP骨折和AC关节脱同时固定的临床和放射性结果.
- 为了评估关节板和心肌螺丝固定的有效性.
主要方法:
- 追溯15名Ogawa I型CP骨折和AC关节脱的患者的病例系列.
- 使用关节板和心肌螺丝进行手术固定.
- 评估肩部运动范围,疼痛 (VAS),恒定得分,CP联合 (CT) 和AC关节对齐.
主要成果:
- 所有15名患者都实现了CT确认的心脏状体过程结合.
- 没有观察到残留的状关节脱.
- 患者报告了出色的运动范围,低的疼痛得分和高的恒定得分,并恢复了以前的活动.
结论:
- 同时固定一个关节板和心肌螺丝是稳定结合CP骨折和AC关节脱位的可靠方法.
- 这种技术导致了持续的骨愈合,关节对齐恢复和积极的临床结果.
- 由于本案例系列的回顾性质,需要进行进一步的比较研究.
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