견봉 쇄골 탈구의 봉합 나사못과 오구 견봉 인대 이전술을 이용한 오구 쇄골 인대 재건술 (Coracoclavicular Ligament Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors And Coracoacromial Ligament Transfer)

서지정보

· 발행기관 : 대한견주관절학회
· 수록지 정보 : 대한 견주관절 학회지 / 11권 / 1호 / 46 ~ 52페이지
· 저자명 : 신상진, 노권재, 정병진

초록

Purpose: This study examined the outcomes of reconstruction of the coracoclavicular ligaments with
using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular
dislocation.
Material and methods: Forty patients with complete acromioclavicular dislocation were included in this
study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type
III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable
sutures were separately placed on the anterolateral and posteromedial portion of the base of
the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to
the undersurface of the distal end of the clavicle for augmentation.
Results: At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the
patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37
patients achieved anatomical reduction and three patients showed complete redislocation. However, the
clinical results of the patients with redislocation were satisfactory.
Conclusion: Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial
ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for
restoring a physiologically stable acromioclavicular joint.

영어초록

Purpose: This study examined the outcomes of reconstruction of the coracoclavicular ligaments with
using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular
dislocation.
Material and methods: Forty patients with complete acromioclavicular dislocation were included in this
study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type
III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable
sutures were separately placed on the anterolateral and posteromedial portion of the base of
the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to
the undersurface of the distal end of the clavicle for augmentation.
Results: At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the
patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37
patients achieved anatomical reduction and three patients showed complete redislocation. However, the
clinical results of the patients with redislocation were satisfactory.
Conclusion: Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial
ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for
restoring a physiologically stable acromioclavicular joint.

참고자료

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