三种Endobutton术式重建喙锁韧带术后稳定性的生物力学对比研究

doi:10.13418/j.issn.1001-165x.2017.01.015

Abstract

Abstract:

Objective　To investigate the biomechanical differences of postoperative stability in use of single，double and triple Endobutton techniques for coracoclavicular ligament reconstruction.　Method　40 fresh frozen shoulder specimens were randomly divided into 4 groups,10 in each group. Tissues in the shoulder specimens were dissected away to only preserve the scapula-coracoclavicular ligament-clavicle structure. The first 3 groups were the experimental group (group 1, group 2 and group 3). The coracoclavicular ligaments were disruputed, and then we used three kinds of Endobutton techniques for the reconstruction of coracoclavicular ligament. The fourth group served as the control group (group 4). The original coracoclavicular ligament was reserved. And then,we continued the vertical biomechanical tensile test, and the maximum strength causing the reconstruction failure was recorded.　Result　When thecoracoclavicular structure in each group was destroyed，the tensile strength were as follows： group 1（597.10±65.58）N，group 2（750.67±51.00）N，group 3（774.82±64.94） N and group 4（645.44±43.37）N. The maximum tensile strength of group 1 was slightly lower than that of group 4 (P>0.05); the maximum tensile strength of group 2 and group 3 was significantly higher than that of group 4 (P<0.05); the maximum tensile strength of group 3 was slightly higher than that of group 2 (P>0.05).　Conclusion　Three kinds of Endobutton technique all could be used for coracoclavicular ligament reconstruction. The vertical stability of the double Endobutton technique and thetriple Endobutton technique were superior to the single Endobutton technique. The vertical stability of the double Endobutton technique and the triple Endobutton technique was similar.

Key words: Acromioclavicular joint dislocation, Coracoclavicular ligament, Biomechanics, Reconstruction technique, Contrastive study

PAN Zhao-xun, DU De-kai, ZHANG Hong-xin, SUN Chao, ZHONG Bin, MIN Xiao-jun. Biomechanical comparison of postoperative stability in use of three kinds of endobutton technique for coracoclavicular ligament reconstruction[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(1): 74-77.

References

[1] Babhulkar A, Pawaskar A. Acromioclavicular joint dislocations[J]. Curr Rev Musculoskelet Med，2014,7(1):33-39．
[2] Struhl S. Double endobutton technique for repair of complete acromioclavicular joint dislocations[J]. Techniques in Shoulder & Elbow Surgery, 2007, 8(4):175-179.
[3] 朱建炜，刘皤，张建华，等. 三重固定纽扣钢板解剖重建陈旧性Ⅲ度肩锁关节脱位[J]. 中国修复重建外科杂志，2012，26（2）：201-204.
[4] 马少云，曹建斌，方汉民，等. 3种内固定加喙锁韧带重建Ⅲ°肩锁关节脱位的效果比较[J]. 中国临床解剖学杂志, 2005, 23（2）：211-214.
[5] Wei HF, Chen YF, Zeng BF, et al. Triple endobutton technique for the treatment of acute complete acromioclavicular joint dislocations: preliminary results[J]. Int Orthop, 2011, 35(4):555-559.
[6] Pan Z, Zhang H, Sun C, et al. Arthroscopy-assisted reconstruction of coracoclavicular ligament by Endobutton fixation for treatment of acromioclavicular joint dislocation[J]. Arch Orthop Trauma Surg, 2015,135(1):9-16.
[7] Fukuda K, Craig EV, An KN, et al. Biomechanical study of the ligamentous system of the acromioclavicular joint[J]. J Bone Joint Surg Am,1986, 68(3):434-40.
[8] Mazzocca AD, Santangelo SA, Johnson ST, et al. A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction[J]. Am J Sports Med,2006,34(2):236-246.
[9] Choi SW, Lee TJ, Moon KH, et al. Minimally invasive coracoclavicular stabilization with suture anchors for acute acromioclavicular dislocation[J]. Am J Sports Med, 2008, 36:961-965.
[10]Dimakopoulos P, Panagopoulos A, Syggelos S, et al. Double-loop suture repair for acute acromioclavicular joint disruption[J]. Am J Sports Med, 2006, 34(7):1112-1119.
[11]Huang TW, Hsieh PH, Huang KC, et al. Suspension suture augmentation for repair of coracoclavicular ligament disruptions[J]. Clin Orthop Relat Res, 2009, 467(8): 2142–2148.
[12]Salzmann G, Walz L, Buchmann S, et al. Arthroscopically assisted 2-bundle anatomical reduction of acute acromioclavicular joint separations[J]. Am J Sports Med, 2010, 38(6):1179-1187.
[13]Shin SJ, Yun YH, Yoo J. Coracoclavicular ligament reconstruction for acromioclavicular dislocation using 2 suture anchors and coracoacromial ligament transfer[J]. Am J Sports Med, 2009, 37(2):346-351.
[14]Li Q, Hsueh PL, Chen YF. Coracoclavicular ligament reconstruction: a systematic review and a biomechanical study of a triple endobutton technique[J]. Medicine (Baltimore), 2014, 93(28):e193.
[15]Oh Y, Namkoong S, Strauss E, et al. Hybrid femoral fixation of soft-tissue grafts in anterior cruciate ligament reconstruction using the endobutton CL and bioabsorbable interference screws: a biomechanical study[J]. Arthroscopy, 2006, 22(11):1218-1224.
[16]Lubowitz JH,Guttmann D.The fixation strength of six hamstring tendon graft fixation devices in anterior cruciate ligament reconstruction: parts I and II[J]. Am J Sports Med, 2003, 31(5): 811-812.

Biomechanical comparison of postoperative stability in use of three kinds of endobutton technique for coracoclavicular ligament reconstruction

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Li Xiaoyu , Zhang Lei , Fu Lei , Li Dongbo , Wang Guoyou. Finite element study on the treatment of Sanders type II calcaneal fracture with three-step reduction method [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 65-70.
[2]	Wu Yanfei, Ma Jianxiong, Lu Bin, Wang Ying, Bai Haohao, Jin Hongzhen, Ma Xinlong. Study on the correlation between the reconstruction of grayscale values using CT post-processing technology and the compressive strength of the endplate [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 71-76.
[3]	Zhang Yue, Cai Xingbo, Zhang Bihuan, Wang Bin, Xu Yongqing. A review of biomechanical studies of wrist after total wrist arthroplasty [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 112-114.
[4]	Ouyang Beiping, Ma Xiangyang, Luo Chunshan, Zou Xiaobao, Liang Dongzhu, Lu Tingsheng, Chen Qiling. Biomechanical comparison of horizontal screw-screw crosslink and horizontal rod-rod crosslink in C1-C2 pedicle screw-rod fixation [J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 588-592.
[5]	Zhang Lei, Wang Rui-han, Tang Zi-hui, Yi Gang, Zhou Xin. Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 385-389.
[6]	Lin Wenjie, Sun Xin, Huang Wenhua, Wei Bo, Lin Tao, Liang Zhenming, Zhong Huan, Zhang Xin, Ouyang Hanbin. Biomechanical analysis of hindfoot joint after ankle arthrodesis [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 212-217.
[7]	Zhang Lei, Zhang Huaqiang, Jin Yufeng, Zhang Mengyao, Zhou Xin, Li Bingkun, Tang Xiaogao. Analysis on the anatomical parameters of coracoclavicular ligament based on MRI [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 259-262.
[8]	Tong Jie, Ji Wei, Huang Zhiping, Zhou Ruozhou, Fang Zuozhong, Zhu Qingan. Biomechanical study of posterior flexible and dynamic fixations in the occipitocervical region [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 315-319.
[9]	Tong Ling, Xu Yangyang, Wang Yidan, Ma Yuan, Wang Haiyan, Li Xiaohe. Finite element analysis of anterior cervical micro-memory compression alloy plate [J]. Chinese Journal of Clinical Anatomy, 2022, 40(3): 320-326.
[10]	Tong Jie, Ji Wei, Huang Zhiping, Zhou Ruozhou, Fang Zuozhong, Zhu Qingan. Biomechanical research on posterior flexible fixation at atlantoaxial joint [J]. Chinese Journal of Clinical Anatomy, 2022, 40(1): 72-77.
[11]	Yu Sheng, Pang Qingjiang. Anatomy of the cervical foraminal ligament and its clinical significance [J]. Chinese Journal of Clinical Anatomy, 2022, 40(1): 109-112.
[12]	Wang Gaofei, Zhang Zhufeng, Wei Zhuang. Biomechanical study on V-Y extending terminal tendon of extensor tendon for distal attachment inhuman cadaver hands [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 330-335.
[13]	Yang Cheng , Li Zhen, Liao Jianwen, Fan Shicai, Yang Jian, Bai Xiaochun. Research on the biocompatibility and biomechanics of citrate-based biodegradable screws [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 182-186.
[14]	LI Na, LIU Yin, XIONG Kun, BIN Shi-zhen. Dynamic analysis on distribution of intracranial pressure and herniation risk in patients with traumatic brain injury [J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 673-679.
[15]	HU Li-da, TIAN Guang-yong, XU Piao, LIN Qiong-ping. 3D reconstruction of sophisticated eardrum-ossicular chain model and the harmonic response analysis calculated by finite element method [J]. Chinese Journal of Clinical Anatomy, 2019, 37(6): 680-685.