[1]聂伟志,谭远超,杨茂清,等.3种闭合复位内固定法治疗 新鲜肩锁关节全脱位的疗效比较[J].中医正骨,2011,23(01):7-9.
　NIE Wei-zhi*,TAN Yuan-chao,YANG Mao-qing,et al.Compare of 3 different types of closed reduction and internal fixation for the fresh complete acromioclavicular dislocation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(01):7-9.
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3种闭合复位内固定法治疗 新鲜肩锁关节全脱位的疗效比较()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期数:
2011年01期
页码:
7-9
栏目:
临床研究
出版日期:
2011-01-30

文章信息/Info

Title:
Compare of 3 different types of closed reduction and internal fixation for the fresh complete acromioclavicular dislocation
作者:
聂伟志; 谭远超; 杨茂清; 朱惠芳
山东省文登整骨医院,山东 文登 264400
Author(s):
NIE Wei-zhi*; TAN Yuan-chao; YANG Mao-qing; et al.*
Wendeng hospital of Traditional Chinese orthopaedic and traumatology of Shandong Province,Wendeng 264400,Shandong,China
关键词:
肩锁关节 脱位 内固定器 三联固定
Keywords:
Acromioclavicular jiont;  Dislocations;  Internal fixators;  Three point fixation
摘要:
目的:比较3种闭合复位内固定法治疗新鲜肩锁关节全脱位的疗效。方法:136例新鲜肩锁关节全脱位患者,闭合复位后采用 经皮“肩峰-锁骨”双枚钢针固定治疗31例(A组),采用经皮“肩峰-锁骨”双枚钢针固定+经皮缝合肩锁关节囊治疗45例(B组),采 用经皮“肩峰-锁骨”双枚钢针固定+经皮“锁骨-喙突” 空心螺钉固定+经皮缝合肩锁关节囊治疗60例(C组,“三联固定”组), 参照Karlsson评价标准比较3组疗效。结果:3组疗效之间的差异有统计学意义(χ2=21.623,P=0.002),C组疗效优于B 组(u=2.014,P=0.002),B组疗效优于A组(u=2.781,P=0.006)。结论:经皮“肩峰-锁骨”双枚钢针固定+经皮“锁骨-喙突” 空心 螺钉固定+经皮缝合肩锁关节囊治疗新鲜肩锁关节全脱位,疗效优于经皮“肩峰-锁骨”钢针固定+经皮缝合肩锁关节囊,更优于单 纯“肩峰-锁骨”钢针固定。
Abstract:
Objective:To compare the curative effect of 3 different types of closed reduction and internal fixation on fresh complete acromioclavicular dislocation.Methods:136 patients sustained complete acromioclavicular dislocation were divided into 3 groups.31 cases in Group A were treated with acromioclavicular closed reduction and acromioclavicular internal fixation by 2 steel-wire per cutem.45 cases in Group B were treated with acromioclavicular closed reduction and acromioclavicular internal fixation by 2 steel-wire per cutem and suturation of the capsula articularis acromioclavicularis per cutem.60 cases in Group C were treated with acromioclavicular closed reduction and acromioclavicular internal fixation by 2 steel-wire per cutem and suturation of the capsula articularis acromioclavicularis per cutem and fixation with a hollowed screw between the clavicle and the coracoid(three point fixation).The curative effects were evaluated according to Karlsson's standard.Results:There was statistical difference in the curative effects between the 3 groups(χ 2=21.623,P=0.002).Curative effects in Group C were superior to those in Group B(u=2.014,P=0.002)and Group B outstriped Group A(u=2.781,P=0.006).Conclusion:The “three point fixation” is a good method for acromioclavicular dislocation and should be popularized with its advantages of reliable fixation and good curative effect.

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备注/Memo

备注/Memo:
基金项目:“十五”国家科技攻关计划课题(2004BA721A01Z68)
更新日期/Last Update: 2011-01-30