artificial ligament suspension

Artificial ligament suspension was also called artificial ligament reconstruction. Nicola was used to treat recurrent shoulder dislocation. The method was to cut the long head of the biceps from the tendon joint and the proximal end through the bone tunnel of the humeral head. The distal kiss is connected. This method, such as biceps paralysis, is easy to loosen, even in the absence of paralysis, the literature reported that for patients with habitual shoulder dislocation, the recurrence rate is 30% to 50%. The former Soviet Union Oplob method can also be used. The proximal tendon is passed through the humeral head, sutured on the periosteum of the surgical neck, and the distal end is sutured to the deltoid muscle, so that the proximal end acts as an artificial ligament, which overcomes the above shortcomings and is clinically applied. Satisfactory results. Artificial ligament suspension is used for the treatment of paralytic shoulder dislocation and subluxation. Treatment of diseases: knee ligament injury ligament injury acute ligament injury of the ankle Indication Artificial ligament suspension is suitable for: 1. The shoulder joint is loose or subluxated. 2. The supraspinatus muscle paralysis, loss of abduction function. 3. Cooperate with dynamic muscle reconstruction to strengthen the stability of the shoulder. Preoperative preparation High epidural or local anesthesia is used. Supine position, suffering from a shoulder pad. Surgical procedure 1. The incision is made along the pectoralis major and the deltoid sulcus slightly inside, making a longitudinal incision. 2. When the subcutaneous tissue is incision, such as close to the pectoralis major and deltoid space, the cephalic vein should be freed and pulled to the inside. If it is 1 to 2 cm inside, the fascia can be directly cut. 3. Reveal the long head of the biceps, open the deltoid muscle longitudinally, rotate the humeral head, touch the large and small nodules, which are internodal sulcus, use a hook to raise the long head from the distal end, and extend upwards and cut Decidual membrane until the top of the humeral head. 4. Cut the long head squat of the biceps muscle below the nodular groove, pull up, and drill a bone tunnel from the iliac cartilage surface to the interstitial groove above the nodular groove. 5. The biceps long head scorpion is taken out of the bone tunnel, and the shoulder is abducted by nearly 90°. After tightening the tendon, the sputum is two halves and sutured separately on the aponeurosis of the surgical neck.

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