中国骨伤2024，Vol.37Issue(6)：576-582,7.DOI:10.12200/j.issn.1003-0034.20230268
单一小切口结合蜂巢钛板治疗急性肩锁关节脱位
Single mini-incision combined with honeycomb titanium plate in treatment of acute acromioclavicular joint disloca-tion
摘要
Abstract
Objective To explore clinical effect of single small incision with honeycomb titanium plate in treating acute acromioclavicular dislocation.Methods The clinical data of 40 patients with acute acromioclavicular dislocation admitted from December 2019 to December 2021 were retrospectively analyzed and divided into two groups according to different surgical methods.Among them,20 patients were fixed with single small incision with honeycomb titanium plate(titanium plate group),including 11 males and 9 females,aged from 23 to 65 years old with an average of(47.40±12.58)years old;12 patients on the left side,8 patients on the right side;11 patients with type Ⅲ,3 patients with type Ⅳ,and 6 patients with type Ⅴ according to Rockwood classification.Twenty patients were fixed with clavicular hook plate(clavicular hook group),including 8 males and 12 females,aged from 24 to 65 years old with an average of(48.40±12.08)years old;12 patients on the left side,8 patients on the right side;10 patients with type Ⅲ,2 patients with type Ⅳ,and 8 patients with type V according to Rockwood classifica-tion.Operative time,incision length,intraoperative blood loss,hospital stay,visual analogue scale(VAS)and Constant-Murley score of shoulder joint function were compared between two groups.Anteroposterior radiographs of the affected shoulder joint were recorded before,immediately and 6 months after surgery,and the coracoclavicular distance was measured and compared.Results Both groups of patients were successfully completed operation without serious complications.All patients were fol-lowed up for 6 to 15 months with an average of(11.9±4.8)months.There were no incisional infection,internal plant fracture or failure,bone tunnel fracture and other complications occurred.The incision length of titanium plate group(35.90±3.14)mm was significantly shorter than that of clavicular hook group(49.30±3.79)mm(P＜0.05).There were no significant difference in operative time,intraoperative blood loss and hospital stay between two groups(P＞0.05).At 1 and 3 months after operation,VAS of titanium plate group was lower than that of clavicular hook group(P＜0.05).Connstant-Murley scores in titanium plate group at 1,3 and 6 months after operation were(86.80±1.36),(91.60±2.32)and(94.90±2.22),respectively;and in clavicular hook group were(78.45±5.47),(85.55±2.01)and(90.25±1.92),which were higher than that of clavicular hook group(P＜0.05).There was no significant difference in coracoclavicular distance between two groups immediately and 6 months after op-eration(P＞0.05).Conclusion For the treatment of acute acromioclavicular joint dislocation,single small incision combined with honeycomb titanium plate have advantages of shorter incision,fast recovery of shoulder joint function without the second operation,and has good satisfaction of patient.关键词
肩锁关节脱位/喙锁韧带/韧带重建/小切口Key words
Acromioclavicular joint dislocation/Coracoclavicular ligament/Ligament reconstruction/Mini-incision分类
医药卫生引用本文复制引用
王雨辰,俞伟忠,李云峰,朱文科,贾川,吴俊琪,高华,籍麟..单一小切口结合蜂巢钛板治疗急性肩锁关节脱位[J].中国骨伤,2024,37(6):576-582,7.基金项目
国家骨科与运动康复临床医学研究中心创新基金(编号:2021-NCRC-CXJJ-PY-28) （编号:2021-NCRC-CXJJ-PY-28）
常州市青苗人才项目(编号:CZQM2020121)Innovation Fund of National Orthopaedic and Sports Rehabilitation Clinical Medical Research Center(No.2021-NCRC-CXJJ-PY-28) （编号:CZQM2020121）
