摘要
目的探讨急性肩锁关节脱位采用关节镜下辅助双Endobuuon钢板解剖重建喙锁韧带治疗的中期疗效。方法笔者回顾性分析自2006—01—2007—12因肩锁关节脱位接受关节镜辅助双Endobuaon钢板解剖重建喙锁韧带技术治疗的19例患者的临床资料，术前及随访中采用视觉模拟量表（VAS）疼痛评分、Constant评分以及简明健康量表-36（SF-36）评分评价患者的临床效果，通过X线片上测量喙锁间距和肩锁移位距离评价患者的影像学效果。结果本组获得36～60个月．平均48个月的随访。至末次随访时，所有患者均未出现复发性脱位或半脱位。术后12、24个月及末次随访时的评估结果均较术前显著改善，差异有统计学意义（P〈0．05），但术后评估结果三者之间比较，差异均无统计意义（P〉0．05）。术后12、24个月及末次随访时的平均喙锁间距和肩锁移位距离评估结果均明显低于术前，差异具有统计学意义（P〈0．05），但术后各随访时间点之间测量结果比较，差异无统计学意义（P〉0．05）。结论采用关节镜下辅助Endobutton钢板双束解剖重建喙锁韧带治疗急性肩锁关节脱位的中期疗效确切，患者的功能恢复及满意度良好。
Objective To evaluate the midterm results of case series of the acutely dislocated acromioclavicular joint treated with arthmscopically assisted reduction using suture-button devices for fixation. Methods The clinical and radiographic outcomes of 19 consecutive patients with acutely dislocated acromioclavicular joint who had been treated with arthroscopically assisted reduction using 2 Endobutton devices for fixation were retrospectively analyzed. Radiographic evaluation was performed by measurement of coracoclavicular distance and acromioclavicular displacement. Clinical evaluation included a visual analog scale （VAS） for pain, the Constant score, and the Short Form-36 （SF-36）. Results All 19 patients were available for midterm follow-up examination for mean 48 months（range, 36-60 months） postoperatively. To the last follow-up, dislocation or subluxationwas were not found for all patients. The VAS, Constant score and SF-36 improved significantly when compared with baseline （P 〈0.05） and remained essentially unchanged （P 〉0.05）.Compared with preoperative data, the average coracoclavicular distance and acromioclavicular displacement decreased significantly （P〈0.05）.The average coracoclavicular distance and acromioclavicular displacement did not change between final follow-up and 12 or 24 months data （P 〉0.05）. Conclusion Arthroscopically assisted reduction using 2 Endobutton devices for fixation of the acutely dislocated acromioclavicular joint provides satisfactory midterm results of 48 months after surgery.
出处
《中国骨与关节损伤杂志》
2014年第3期233-235,共3页
Chinese Journal of Bone and Joint Injury
关键词
肩锁关节
急性脱位
喙锁韧带
解剖重建
关节镜辅助手术
Acremioclavicular joint
Acute dislocation
Coracoclavicular ligament
Anatomic reconstruction
Arthrescopically assisted surgery
