生物骨科材料与临床研究2025，Vol.22Issue(1)：32-36,5.DOI:10.3969/j.issn.1672-5972.2025.01.007
肩锁韧带加强缝合联合锁骨钩钢板及喙锁韧带修复治疗肩锁关节脱位的对比研究
A comparative study about strengthened suture of the acromioclavicular ligament combined with clavicular hook plate and repair of coracoclavicular ligament for acromioclavicular joint dislocation treatment
马武秀 1辛庆峰 1郑军贤 1陈肖松1
作者信息
- 1. 中国人民解放军联勤保障部队第九〇一医院骨科,安徽 合肥,230031
- 折叠
摘要
Abstract
Objective To explore the effect of strengthened suture of the acromioclavicular ligament on the treatment of acromioclavicular joint dislocation employing clavicular hook plate combined with suture anchor for coracoclavicular ligament repair.Methods We analyzed the clinical data of 64 patients with acute acromioclavicular dislocation who were admitted to the 901th Hospital of the Joint Logistics Support Force of PLA between February 2017 and February 2022.They were divided into the group with clavicle hook plate and strengthened repair of coracoclavicular ligament suture anchor(CC repair group,n=31)and the group with clavicle hook plate and strengthened repair of coracoclavicular ligament suture anchor as well as reinforced fixation of acromioclavicular joint(CC/AC repair group,n=33).We compared the visual analogue scale(VAS)and Constant-Murley shoulder joint function score at the mentioned points,along with the intraoperative bleeding volume and surgical time between the two patient groups.Examined the position of the distal clavicle and acromion in both groups of patients using a CT scan before removing the clavicle hook steel plate.Results All patients were followed up for more than 10 months,with an average follow-up time of(11.61±1.27)months.The difference in intraoperative blood loss between the two groups was not statistically significant(P>0.05),while the surgical duration in the CC/AC repair group was longer than that in the CC repair group(P<0.05).The differences between VAS and Constant-Murley score at different time points was of no statistical significance(P>0.05).The CC/AC repair group had significant advantages in the anteroposterior and lateral alignment of the acromioclavicular joint than those in the CC repair group(P<0.05),while the difference between the upper and lower displacement did not reach the statistical significance(P>0.05).Conclusion Strengthened suture of the acromioclavicular ligament combined with a clavicle hook plate and repair of the coracoclavicular ligament has a higher priority in restoring the alignment of the acromioclavicular joint,with a more satisfactory treatment effect.关键词
肩锁关节脱位/锁骨钩钢板/喙锁韧带/肩锁韧带Key words
Acromioclavicular joint dislocation/Clavicular hook plate/Coracoclavicular ligament/Acromioclavicular ligament分类
医药卫生引用本文复制引用
马武秀,辛庆峰,郑军贤,陈肖松..肩锁韧带加强缝合联合锁骨钩钢板及喙锁韧带修复治疗肩锁关节脱位的对比研究[J].生物骨科材料与临床研究,2025,22(1):32-36,5.
