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Operation for old sternoclavicular dislocation. Results in 12 cases

机译:手术治疗陈旧性肩锁关节脱位。结果12例

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摘要

Twelve patients were operated upon after unsuccessful conservative treatment for complete dislocation of the sternoclavicular joint. Three methods were used; stabilisation using fascial loops, reconstruction with a tendon graft, and resection of the sternal end of the clavicle. The results were good in only four patients, three treated with a tendon graft and one by fascial loops. Another four patients had fair results, but all four treated by resection of the medial end of the clavicle had poor results, with pain and weakness of the upper extremity. In our opinion resection of the sternal end of the clavicle should not be used in old traumatic dislocation.
机译:在不成功的保守治疗后,对12例患者进行了手术,以使肩锁关节完全脱位。使用了三种方法。使用筋膜环稳定,用肌腱移植物重建和锁骨胸骨末端切除。仅四例患者取得了良好的结果,三例采用肌腱移植治疗,另一例采用筋膜s环治疗。另外四例患者的结果良好,但所有四例均通过锁骨内侧末端切除术治疗的患者均较差,伴有上肢疼痛和无力。在我们看来,锁骨胸骨末端的切除不应用于旧的创伤性脱位。
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