中国现代手术学杂志2019，Vol.23Issue(1)：35-39,5.DOI:10.16260/j.cnki.1009-2188.2019.01.008
双带袢纽扣钢板技术重建喙锁韧带治疗完全性肩锁关节脱位的疗效分析
Treatments of Complete Acromioclavicular Joint Dislocation with Double-belt Button Steel Plate Technique for Reconstruction of Sacral Ligament
摘要
Abstract
Objective To evaluate the efficacy and prognosis of double-belt button steel plate technique and AO clavicular hook plate internal fixation for acute complete acromioclavicular joint dislocation. Methods A total of 52 patients with acute complete acromioclavicular joint dislocation who underwent surgery in our hospital from March 2015 to January 2017 were randomly divided into a button plate group (26 cases) and a hook plate group (26 cases). Operation time, hospitalization cost, postoperative shoulder joint score, visual analogue scale (VAS) and complications were compared between the two groups. Results ①Operation time of the button plate group was longer than that of the hook plate group, and the hospitalization cost and pain disappearance time were lower and shorter than that of the hook plate group (P＜ 0.05).②The intra-group comparison showed there were significant differences in Constant score and VAS score among the points of pre-operation, 3- month, 1-year and 2-years after operation (P＜ 0.05). Constant score increased gradually and VAS score decreased gradually in each group. There were no significant differences in Constant score and VAS score between the two groups before operation (P＞0.05), but the Constant score in the button plate group was significantly higher than that of the hook plate group at 3 months, 1 year and 2 years after operation (P＜0.05), and the VAS score in the button plate group at 3 months after operation was significantly lower than that of the hook plate group (P＜0.05). There was no significant difference in VAS score between the two groups at 1 and 2 years after operation (P ＞ 0. 05). ③There were no significant differences in rates of postoperative shoulder joint reduction, internal fixation loosening, displacement and fracture between the two groups (P＞0.05). Conclusion The double-belt button plate technique is effective in the treatment of acute complete acromioclavicular joint dislocation, which is beneficial to the early recovery of shoulder function and more economical.关键词
肩锁关节脱位/纽扣钢板/锁骨钩钢板/内固定Key words
acromioclavicular joint dislocation/button steel plate/hook plate/internal fixation分类
医药卫生引用本文复制引用
李文俊,孙健,程飚,刘葛君,吴兴..双带袢纽扣钢板技术重建喙锁韧带治疗完全性肩锁关节脱位的疗效分析[J].中国现代手术学杂志,2019,23(1):35-39,5.基金项目
上海市科委项目(15DZ1941703) （15DZ1941703）
