文章摘要
沙卫平,严飞,陈国兆.Triple-Endobutton钢板治疗Rockwood Ⅲ型及以上肩锁关节脱位.骨科,2017,8(4):268-272
Triple-Endobutton钢板治疗Rockwood Ⅲ型及以上肩锁关节脱位
Clinical effect of triple-Endobutton plate in the treatment of patients with acromioclavicular joint dislocation of Rockwood type Ⅲ and above
投稿时间:2016-09-30  
DOI:10.3969/j.issn.1674-8573.2017.04.004
中文关键词: 锁骨  骨折  肩锁关节  脱位  骨折固定术,内  Triple-Endobutton钢板
英文关键词: Clavicle  Fractures, bone  Acromioclavicular joint  Dislocations  Fracture fixation, internal  Triple-Endobutton plate
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作者单位E-mail
沙卫平 215600 江苏张家港苏州大学附属张家港人民医院骨科 zjgswp@163.com 
严飞 215600 江苏张家港苏州大学附属张家港人民医院骨科  
陈国兆 215600 江苏张家港苏州大学附属张家港人民医院骨科  
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中文摘要:
      目的 探讨Triple-Endobutton钢板在治疗Rockwood Ⅲ型及以上肩锁关节脱位的临床疗效。方法 回顾性分析我科治疗的Rockwood Ⅲ型及以上肩锁关节脱位病人50例,根据病人收治入院时间先后分为:2009年1月至2011年12月采用钩钢板治疗的25例Rockwood Ⅲ型及以上肩锁关节脱位病人,纳入钩钢板组;2012年1月至2015年12月予Triple-Endobutton钢板手术治疗的25例Rockwood Ⅲ型及以上肩锁关节脱位病人,纳入Endobutton组。比较两组病人术后3、6、9个月的患侧肩膀疼痛视觉模拟量表(visual analogue scale, VAS)评分,并采用Constant-Murley评分评定肩关节功能。结果 病人全部获得随访,随访时间为9~12个月,平均为10个月。术后3个月Endobutton组的VAS评分及肩关节Constant-Murley评分明显优于钩钢板组(均P<0.05);术后6、9个月Endobutton组的VAS评分优于钩钢板组(P=0.005,P=0.009),而Constant-Murley评分与钩钢板组差异无统计学意义(P=0.051,P=0.061)。结论 Triple-Endobutton钢板重建喙锁韧带治疗肩锁关节脱位,能有效降低术后肩部疼痛,对肩关节功能影响小,有利于肩关节功能的早期恢复,临床治疗效果满意。
英文摘要:
      Objective To investigate the clinical effect of triple-Endobutton plate in the treatment of acromioclavicular joint dislocation of Rockwood type Ⅲ and above. Methods The clinical data of 50 patients with acromioclavicular joint dislocation of Rockwood type Ⅲ and above from January 2009 to December 2015 were retrospectively analyzed, of which 25 cases were treated with hook plate from January 2009 to December 2011, and 25 cases treated with triple-Endobutton plate from January 2012 to December 2015. The two groups were compared at 3rd, 6th and 9th month after operation in terms of Constant-Murley score for shoulder, and visual analogue scale (VAS) of shoulder. Results All patients were followed up for 9 to 12 months (mean 10 months). The Constant-Murley score and VAS score in the triple-Endobutton plate group were significantly better than in the hook plate group (both P<0.05) at 3rd month after operation. The triple-Endobutton plate group was better than the hook plate group according to VAS score at 6th and 9th month after operation (P=0.005, and P=0.009), while Constant-Murley score in two groups had no significant difference at 6th and 9th month after operation (P=0.051, and P=0.061). Conclusion Coracoclavicular ligament reconstruction with triple-Endobutton technique is more advantageous in facilitating early functional recovery and pain-relieving of the shoulder and is effective in the treatment of acute dislocation of the acromioclavicular joint.
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