中国组织工程研究2012，Vol.16Issue(30)：5686-5690,5.DOI:10.3969/j.issn.2095-4344.2012.30.034
锁骨钩钢板置入治疗Rockwood Ⅲ型肩锁关节脱位
Clavicular hook plate implantation for the treatment of Rockwood type Ⅲ acromioclavicular joint dislocation
张建华 1聂宇 1周永焕 1王光勇 2敦先礼 2李有方 2周廷玉 2钟斌2
作者信息
- 1. 五峰土家族自治县人民医院骨科,湖北省宜昌市,443001
- 2. 宜昌市夷陵区医院骨科,湖北省宜昌市,443000
- 折叠
摘要
Abstract
BACKGROUND: Surgical therapy has been frequently used to treat Rockwood type Ⅲ acromioclavicular joint dislocation to restore normal anatomy of stable structures around the acromioclavicular joint and heal free of tension.OBJECTIVE: To investigate the clinical effect of clavicular hook plate implantation on Rockwood type Ⅲ acromioclavicular joint dislocation.METHODS: A total of 56 patients with Rockwood type Ⅲ acromioclavicular joint dislocation were selected from Department of Orthopedics of Wufeng People's Hospifal and Department of Orthopedics of Yiling Hospital between December 2005 and June 2008. All patients were treated with clavicular hook plate implantation. Indicators including visual analogue scale (VAS), the United States Shoulder and Elbow Surgeon Score (ASES), and Constant and Murley scoring system were tested pre-operatively, one year postoperatively, before internal fixation, and 3 months after internal fixation. Additionally, functional changes of the shoulder joint and complications were analyzed before and after clavicular hook plate implantation.RESULTS AND CONCLUSION: The surgery and follow-up were successfully achieved in 56 cases. The follow-up lasted for 15-30 months, with the mean time of 20 months. The internal fixation was taken out at about 1 year after implantation. Coracoclavicular ligament was repaired in 32 cases but not in 24 cases. Two patients with recurrence of acromioclavicular joint dislocation were excluded, and coracoclavicular ligament therapy was not performed. Shoulder pain, foreign body sensation, and internal fixation failure occurred in two cases. One year after operation, VAS was decreased compared with that before operation, but ASES and Constant and Murley score were significantly increased (P < 0.01). At 3 months after internal fixation, VAS was decreased compared with that at 1 year after operation, but ASES and Constant and Murley score were increased (P < 0.05). Results demonstrated that clavicular hook plate implantation for treating Rockwood type Ⅲ acromioclavicular joint dislocation is simple and minimally invasive, thus it is an ideal internal fixation.关键词
锁骨钩钢板/肩锁关节脱位/RockwoodⅢ型/硬组织植入物/内固定分类
医药卫生引用本文复制引用
张建华,聂宇,周永焕,王光勇,敦先礼,李有方,周廷玉,钟斌..锁骨钩钢板置入治疗Rockwood Ⅲ型肩锁关节脱位[J].中国组织工程研究,2012,16(30):5686-5690,5.
