改良锚钉技术修复肘关节外侧副韧带撕脱伤的效果观察

周广良; 张广亮; 胡海洋; 胡蕴楠; 巨积辉; 侯瑞兴

doi:10.7619/jcmp.20221169

改良锚钉技术修复肘关节外侧副韧带撕脱伤的效果观察

扬州大学医学院教学医院/苏州瑞华骨科医院手外科, 江苏苏州, 215104

基金项目:

江苏省苏州市企业工程技术研究中心项目 SZS2019263

姑苏卫生人才培养项目 GSWS2020116

江苏省苏州市民生科技项目 SS202092

详细信息

通讯作者:
侯瑞兴, E-mail: huarui1000@163.com

中图分类号: R686.5;R641
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- 文章访问数: 176
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- PDF下载量: 15
出版历程
- 收稿日期: 2022-04-10
- 网络出版日期: 2022-09-20

Effect observation of modified anchor technique in repairing avulsion injury of lateral collateral ligament of elbow joint

Department of Hand Surgery, Teaching Hospital of Medical College of Yangzhou University, Suzhou Ruihua Orthopedic Hospital, Suzhou, Jiangsu, 215104

摘要

摘要:
目的
观察改良锚钉技术修复肘关节外侧副韧带撕脱伤的效果。
方法
回顾性分析2016年1月—2021年9月20例采用改良锚钉技术修复肘关节外侧副韧带撕脱伤患者的临床资料。20例患者均为闭合性损伤，其中伴有桡骨骨折8例，尺骨骨折1例，尺桡骨骨折5例，肱骨骨折3例，肱骨、尺桡骨骨折2例，单纯韧带损伤1例。评价改良锚钉技术的修复效果。
结果
所有患者术后均达到切口Ⅰ期愈合，随访6~26个月，平均11.9个月。CT结果显示，锚钉均在位，无脱钉出现。末次随访时，肘关节旋前58~90 °, 旋后40~65 °, 旋转范围平均为123.2 °; 屈曲90~130 °, 伸直0~13 °, 活动范围平均为115.6 °。侧方应力试验均为阴性，术后骨折未移位，内固定无松动或断裂，无异位骨化等并发症发生。Mayo肘关节功能评分结果为优16例，良4例。
结论
改良锚钉修复肘关节外侧副韧带撕脱伤的效果可靠，其通过双加压固定的方式保证肘关节有力的稳定性，同时也避免了脱钉的发生。
- 副韧带损伤 /
- 撕脱伤 /
- 韧带修复 /
- 带线锚钉 /
- 肘关节 /
- 骨折
Abstract:
Objective
To observe the effect of modified anchor technique in the repair of avulsion injury of lateral collateral ligament of elbow joint.
Methods
From January 2016 to September 2021, the clinical materials of 20 patients with modified anchor technique for repair of avulsion injury of lateral collateral ligament of elbow joint were analyzed retrospectively. The injury type of 20 patients was closed injury, including 8 cases of radius fractures, 1 case of ulna fractures, 5 cases of ulna and radius fractures, 3 cases of humerus fractures, 2 cases of humerus and ulna and radius fractures, and 1 case of simple ligament injury. The repair effect of the modified anchor technique was evaluated.
Results
All the patients achieved primary wound healing after operation, and they were followed up for 6 to 26 months, with an averageof 11.9 months. CT result showed that the anchors were all in place and there was no nail detachment. At the last follow-up, the range of joint pronation was 58° to 90°, the range of joint supination was 40° to 65°, and with an average rotation range of 123.2°; the range of flexion was 90° to 130°, the range of extension was 0 to 13°, and with an average motion range of 115.6°. The lateral stress test was negative, the fracture was not displaced, no looseness or fracture of internal fixation were observed, and there were no complications such as ectopic ossification. Mayo elbow function score was excellent in 16 cases and good in 4 cases.
Conclusion
Modified anchor technique is reliable in the repair of avulsion injury of lateral collateral ligament of elbow joint, which ensures the strong stability of the elbow joint through double compression fixation, and at the same time, the occurrence of nail detachment is also avoided.
- collateral ligament injury /
- avulsion injury /
- ligament repair /
- anchor with wire /
- elbow joint /
- fracture

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图 1 改良锚钉技术修复肘关节外侧副韧带撕脱伤示意图

A: 肘关节外侧副韧带撕脱示意图; B: 锚钉置入和骨隧道制作示意图; C: 锚钉线交叉穿骨隧道示意图; D: 肘关节外侧副韧带重建示意图; E: 肘关节外侧副韧带撕脱术中照; F: 锚钉置入和骨隧道制作术中照; G: 锚钉线交叉穿骨隧道术中照。

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期刊类型引用(2)

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