临床骨科杂志Issue(4):467-470,4.DOI:10.3969/j.issn.1008-0287.2014.04.043
带袢钢板与锁骨钩钢板治疗肩锁关节脱位疗效比较
Efficacy comparison of acromioclavicular joint dislocation treated with Endobutton plate or clavicular hook plate
阮永龙 1谢杰 1王双利 1潘良春 1陈光1
作者信息
- 1. 合肥市第一人民医院关节外科,安徽 合肥 230001
- 折叠
摘要
Abstract
Objective To investigate short-term outcomes of acromioclavicular( AC) joint dislocation treated with En-dobuton plate and clavicular hook plate( CHP) . Methods There were 44 patients with Rockwood type III or severe acromioclavicular joint dislocation accorded with the inclussion criteria. All patients were divided into 2 groups ac-cording to treatment with Endobutton plate group(19 cases) or CHP group(25 cases). Patients were followed up regu-larly. They were compared in term of postoperative visual analogue scale (VAS) scores, range of motion(ROM) (in-clude abduction, extorsion and intorion) ,Constant-Murley score and Karlsson grading of excellent to good cases. Re-sults 44 patients were followed up for 10~18 (12. 3 ± 1. 5) months. At the time of the latest follow-up, both En-dobutton plate group and CHP group, their average Constant-Murley score and Karlsson criteria were similar in gener-al clinical data(P>0. 05). But the score of VAS and the ROM of AC joint were different(P<0. 05). Conclusions In management of AC joint dislocation compared with that treated with Endobutton plate, CHP can result in similar functional short-term outcomes. But Endobutton plate have a greater ROM and less shoulder pain at the early post-surgery stage, and effective in function restoration of AC joint.关键词
肩锁关节脱位/带袢钢板/锁骨钩钢板Key words
acromioclavicular joint dislocation/Endobutton plate/clavicular hook plate分类
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阮永龙,谢杰,王双利,潘良春,陈光..带袢钢板与锁骨钩钢板治疗肩锁关节脱位疗效比较[J].临床骨科杂志,2014,(4):467-470,4.