Objective To investigate the efficacy of reconstruction of coracoclavicular ligament with loop plate for treatment of acromioclavicular joint dislocation under arthroscopy.Methods The 15 cases of acromioclavicular joint dislocation were treated by reconstruction of coracoclavicular ligament with loop plate under arthroscopy.Intraoperative blood loss,operation time,pain VAS,coracoclavicular distance(CCD),acromioclavicular distance(ACD)and shoul-der joint mobility were recorded.Constant-Murley score was used to evaluate the recovery of shoulder function.Results All patients were followed for 5～47(19.93±12.05)months.The blood loss during operation was 30～100(50.67±21.12)ml,and the operative time was 60～150(88.00±24.26)min.At the last follow-up time,CCD and ACD were shorter than those of preoperation(P＜0.05).At the last follow-up,the pain VAS were 0～2 points,Con-stant-Murley scores of the shoulder joint were 84～96(91.40±3.48)points,and the ranges of shoulder joint mobility were 150°～180°(177.33°±7.99°)for lifting,50°～60°(58.67°±3.52°)for posterior extension,internal rotation with 55°～70°(68.67°±3.99°),and external rotation with 75°～90°(87.67°±4.17°).Conclusions Arthroscop-ic reconstruction of the coracoclavian ligament with loop plate for the treatment of acromioclavicular joint dislocation has the advantages of safety and reliability,less trauma,early functional exercise for patients,satisfactory recovery of shoulder joint function,and no need for secondary surgical removal.It can effectively avoid acromioclavicular joint re-dislocation and solve the problem of postoperative acromioclavicular joint instability.
acromioclavicular joint dislocationreconstruction of coracoclavicular ligamentloop platearthroscopy
维普
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