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目的 探讨自体半腱肌肌腱重建喙锁韧带治疗肩锁关节脱位的临床疗效.方法 对2008年3月至2013年10月我院收治的肩锁关节脱位(Rockwood Ⅳ～Ⅵ型)的26例患者进行回顾性研究.所有患者均采用自体半腱肌肌腱重建喙锁韧带术式治疗.术后采用VAS评分及Constant-Murley评分及影像学资料评估疗效.结果 26例患者术后经X线检查示肩锁关节达到解剖复位.术后随访时间为12～24个月,平均16个月.术后3个月随访时均获得良好的疼痛缓解及肩关节主动活动度,患肩主动活动时平均VAS评分为(1.69±0.79)分.术后6个月时平均VAS评分为(0.92±0.69)分,平均Constant-Murley评分为(88.70± 4.30)分.末次随访时平均VAS评分为(0.54±1.24)分,平均Constant-Murley评分为(95.40±5.10)分.术后随访未发生伤口感染、锁骨骨折、脱位复发等并发症.结论 采用半腱肌肌腱重建喙锁韧带治疗肩锁关节脱位可获得良好的疗效,术后可提供足够的稳定性,患者可早期开始康复锻炼,获得良好的肩关节功能.“,”Objective To evaluate the clinical outcomes of treating acromioclavicular (AC) joint dislocation with coracoclavicular (CC) ligament reconstruction using autologous semitendinosus tendon.Methods A retrospective evaluation was perfonned on 26 patients who were treated for AC joint dislocation (Rockwood Ⅳ to Ⅵ) between March 2008 and October 2013.The coracoclavicular ligament was reconstructed using autologous semitendinosus tendon.Postoperatively the patients were evaluated for pain with the visual analog scale (VAS) and for shoulder function with the Constant-Murley score.Results The X-rays showed that anatomic reduction was achieved in all patients immediately after the surgery.All the patients were follow-up for 12 to 24 months, with an average of 16 months.At 3 months postoperatively good pain relief and shoulder motion were seen in all patients.The mean VAS was 1.69 ± 0.79 during active shoulder movement.At 6 months postoperatively the mean VAS was 0.92 ± 0.69 with a mean Constant-Murley score of 88.70± 4.30.The mean VAS was 0.54± 1.24 and mean Constant-Murley score 95.40± 5.10 at final follow-up.No infection, clavicle fracture and redislocation were observed.Conclusion Coracoclavicular ligament reconstruction using the autologous semitendinosus tendon is an effective procedure for treatment of acromioclavicular joint dislocation.Patients could start early rehabilitation and get well-functioning shoulders.