Citation: | ZHOU Guangliang, ZHANG Guangliang, HU Haiyang, HU Yunnan, JU Jihui, HOU Ruixing. Effect observation of modified anchor technique in repairing avulsion injury of lateral collateral ligament of elbow joint[J]. Journal of Clinical Medicine in Practice, 2022, 26(17): 15-17, 23. DOI: 10.7619/jcmp.20221169 |
To observe the effect of modified anchor technique in the repair of avulsion injury of lateral collateral ligament of elbow joint.
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.
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.
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.
[1] |
RAHMAN M, CIL A, BOGENER J W, et al. Lateral collateral ligament deficiency of the elbow joint: a modeling approach[J]. J Orthop Res, 2016, 34(9): 1645-1655. doi: 10.1002/jor.23165
|
[2] |
NTALOS D, HUBER G, SELLENSCHLOH K, et al. All-suture anchor pullout results in decreased bone damage and depends on cortical thickness[J]. Knee Surg Sports Traumatol Arthrosc, 2021, 29(7): 2212-2219. doi: 10.1007/s00167-020-06004-6
|
[3] |
胡海洋, 巨积辉, 金光哲, 等. 修复前关节囊在"肘关节恐怖三联征"手术治疗中的疗效观察[J]. 中华肩肘外科电子杂志, 2019, 7(4): 360-364. doi: 10.3877/cma.j.issn.2095-5790.2019.04.012
|
[4] |
杨晋. 后外侧入路联合前内侧入路治疗肘关节恐怖三联症的疗效分析[D]. 银川: 宁夏医科大学, 2017.
|
[5] |
左思力, 郑世军, 李东生, 等. 经肘内外侧联合入路治疗肘关节内翻后内侧旋转不稳定[J]. 中华创伤骨科杂志, 2020, 22(12): 1086-1089. doi: 10.3760/cma.j.cn115530-20200824-00544
|
[6] |
李小建, 李渊博, 刘国良, 等. 股薄肌肌腱移位结合带线锚钉固定修复膝内侧副韧带Ⅲ度损伤的临床疗效[J]. 骨科, 2020, 11(1): 51-54. https://www.cnki.com.cn/Article/CJFDTOTAL-HYXZ202001011.htm
|
[7] |
胡金龙, 王骅, 王静成, 等. 缝合锚钉结合Krackow法治疗髌骨中下极粉碎性骨折的效果[J]. 实用临床医药杂志, 2019, 23(23): 95-97. doi: 10.7619/jcmp.201923029
|
[8] |
徐吉海, 滕晓峰, 蔡利斌, 等. 桡骨远端骨折合并尺骨茎突基底部骨折致急性桡尺远侧关节不稳定的手术疗效分析[J]. 中华手外科杂志, 2021, 37(2): 102-105. doi: 10.3760/cma.j.cn311653-20200310-00115
|
[9] |
吴文溢, 张振伟, 陈皇胜, 等. HauckⅡ型尺骨茎突骨折的三种内固定治疗方法的疗效分析[J]. 中华手外科杂志, 2020, 36(4): 271-274. doi: 10.3760/cma.j.cn311653-20190516-05704
|
[10] |
陈鹏涛, 王静成, 何金山, 等. 缝合锚钉技术治疗下胫腓联合损伤的临床疗效[J]. 实用临床医药杂志, 2022, 26(4): 89-91, 99. doi: 10.7619/jcmp.20212976
|
[11] |
张亮, 梁求真, 赵赞栋, 等. 关节镜下内侧副韧带锚钉缝合固定联合前后交叉韧带重建治疗KD-ⅢM型膝关节脱位的疗效[J]. 中华创伤杂志, 2021, 37(10): 881-887. doi: 10.3760/cma.j.cn501098-20210630-00369
|
[12] |
冉讯, 陈志伟, 崔俊成, 等. 带线锚钉修复治疗合并腓骨尖撕脱骨折的距腓前韧带损伤后踝关节不稳的临床疗效观察[J]. 足踝外科电子杂志, 2021, 8(2): 10-14, 19. https://www.cnki.com.cn/Article/CJFDTOTAL-WKZH202102002.htm
|
[13] |
DUGAS J R, LOOZE C A, CAPOGNA B, et al. Ulnar collateral ligament repair with collagen-dipped FiberTape augmentation in overhead-throwing Athletes[J]. Am J Sports Med, 2019, 47(5): 1096-1102. doi: 10.1177/0363546519833684
|
[14] |
王磊, 郭卫中, 张申申. Monteggia骨折临床治疗失误病例分析[J]. 中华手外科杂志, 2020, 36(3): 184-186.
|
[15] |
向成浩, 舒舒, 邓君, 等. 带线锚钉内固定联合Krackow缝合技术治疗髌骨下极骨折疗效观察[J]. 中国骨与关节损伤杂志, 2021, 36(10): 1068-1070. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202110019.htm
|
[16] |
叶永志, 胡妙仙, 叶颂华. 可吸收锚钉修复三角韧带损伤在踝关节骨折术中的应用[J]. 中国骨与关节损伤杂志, 2020, 35(6): 641-642. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202006033.htm
|