摘要
目的观察双Endobutton钢板技术治疗肩锁关节完全脱位的临床疗效。方法58例Rockwood分类Ⅲ型及以上肩锁关节脱位患者，观察组28例采用双Endobutton钢板治疗，对照组30例采用肩锁钩钢板治疗，并在术后9～12个月左右取出肩锁钩钢板。疗效评估按照JOA肩关节疾患治疗成绩判定标准进行。放射学观察患肩正位片上术前、术后与随访时喙锁间隙、肩锁关节间隙改变及并发症情况。结果所有患者随访6～18个月，平均14．6个月，JOA肩关节评分观察组85～100分，平均（96．18±4．30）分，对照组57～100分，平均（8817±10.54）分（P〈0．01o结论与肩锁钩钢板治疗比较，双Endobutton钢板设计合理，使用后能解剖重建喙锁韧带，实现肩锁关节的稳定，具有复位可靠、固定稳定、并发症发生率低的优点，可免去患者二次手术的费用和痛苦，是治疗Rockwood Ⅲ～Ⅴ型肩锁关节脱位的有效方法。
Objective To evaluate the clinical effects of double Endobutton plate technique in treatment of complete dislocation of acromioclavicular joint. Methods Fifty eight patients with acromioclavicular joint dislocation of Rockwood Grade III or above were enrolled in the study, among whom 28 cases were treated with double Endobutton plate （trial group） and 30 cases were fixed with AO clavicula hook plate which were dislodged after 9 - 12 months. The therapeutic effects were evaluated in accordance with the JOA score standard. The anteroposterior radiographs were followed up for the changes of the coracoclavicular gap and acromioclavicular joint gap of the diseased shoulder joint before and after treatment and also the complication. Results All the patients were followed-up for 6 - 18 months, with the average of 14.6 months. According to the JOA score standard for shoulder joint, the results of the trial group were 85 - 100 points, with the average of 96.18 ± 4.30 points; and those of control group were 57 - 100 points, with the average of 88.17 ± 10.54 points （P〈0.01）. Conclusion Comparing to the AO clavicula hook plate treatment, the double Endobutton plate technology is an modus operandi to treat acromioclavicular joint dislocation of Rockwood Grade Ⅲ～Ⅴ, which is rationaly designed with the virtue of reliable reduction, stable fixation and low rate of complication.
出处
《浙江医学》
CAS
2012年第22期1815-1817,1841,共4页
Zhejiang Medical Journal
基金
杭州市医学重点专科专病项目（20091233Q33）
关键词
肩锁关节
脱位
韧带
内固定器
Acromioclavicular joint Dislocations Ligaments Internal fixation device
