临床骨科杂志2024，Vol.27Issue(6)：805-808,4.DOI:10.3969/j.issn.1008-0287.2024.06.013
两种方法治疗肩锁关节脱位的疗效比较
Comparison of two methods for the treatment of acromioclavicular joint dislocation
肖文庆 1贾江波 1程立军 1叶鹏 1赵岩1
作者信息
- 1. 洛阳市中医院骨二科,河南 洛阳 471000
- 折叠
摘要
Abstract
Objective To compare the effects of locking loop plate and clavicle hook plate fixation in the treatment of acromioclavicular joint dislocation.Methods The 36 patients with Rockwood type Ⅲ acromioclavicular dislocation were divided into two groups based on different fixation methods:the locking loop plate group and the clavicle hook plate group,with 18 cases in each group.The intraoperative bleeding volume,incision length,surgical time,pain VAS,Constant score of the shoulder joint function,complications were recorded,and the therapeutic effect was evaluated by using the Karlsson score for acromioclavicular dislocation.Results All patients were followed up for 12～18 months.The intraoperative bleeding volume and incision length in the locking loop plate were less(shorter)than those in the clavicle hook plate group(P＜0.05),and there was no statistical difference in surgical time between the two groups(P＞0.05).One year after surgery,there was no statistical difference in pain VAS between the two groups(P＞0.05),while the Constant score was higher in the locking loop plate group than that in the clavicle hook plate group(P＜0.05);the Karlsson score showed a higher of excellent-good rate of therapeutic effect in the locking loop plate group,compared to the clavicle hook plate group(P＜0.05).Both groups had no complications such as infection,fail-ure of internal fixation,stress fractures or re-dislocation.Conclusions Compared with clavicle hook plate,the treat-ment of Rockwood Ⅲ acromioclavicular dislocation with locking loop plate fixation has advantages such as small inci-sion,less bleeding,good shoulder joint function recovery,and no need for secondary surgical removal.关键词
肩锁关节脱位/锁扣带袢钢板/锁骨钩钢板Key words
acromioclavicular joint dislocation/lock loop plate/clavicular hook plate分类
医药卫生引用本文复制引用
肖文庆,贾江波,程立军,叶鹏,赵岩..两种方法治疗肩锁关节脱位的疗效比较[J].临床骨科杂志,2024,27(6):805-808,4.
