2003•The Orthopedic Journal of ChinaRequires access
Treatment of Completely Dislocated Acromioclavicular Joint by Allogenic Tendon Repair of Coracoclavicular
Xing Cheng
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Abstract
Objective: To evaluate the preliminary result of clinical application in the treatment of completely dislocated acromioclavicular joint by allogenic tendon repair of coracoclavicular ligament. Methods:From Oct. 1997 to Dec. 2001,21cases of completely dislocated acromioclavicular joint were treated with allogeneic flexor tendon to repair the coracoclavicular ligament, which was stored in deep hypothermia. Reconstruct it through tissue hole,in the direction of coracoclavicular ligament fibers,using double-S inter-crossing way. The allogenic flexor tendons were used to rebuild the coracoclavicular ligament for vertical stability of the acromioclavicular joint. Results: Nineteen cases were followed up from 12 to 40 months,averaged 16.8 months. Evaluated according to the criteria of Lazzcano and Karlsson, 15 out of 19 cases got excellent result and 4 good. Conclusion:Allogenic tendon repair of coracoclavicular for treatment completely dislocated acromioclavicular joint is effective. It coud be procured before operation, and avoid the injury and complication caused by the autograft. It is effective when the artification tendon produced with tissue engineering was not completely succeed.