[1]方煜丽,赵伟儿.喙锁螺钉与双Endobutton钢板治疗肩锁关节脱位临床观察[J].中医正骨,2012,24(05):27-30.
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喙锁螺钉与双Endobutton钢板治疗肩锁关节脱位临床观察()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期数:
2012年05期
页码:
27-30
栏目:
临床报道
出版日期:
2012-05-20

文章信息/Info

作者:
方煜丽; 赵伟儿
浙江省诸暨市红十字医院,浙江 诸暨 311800
关键词:
肩锁关节脱位 骨折固定术; 内 喙锁螺钉 对比研究
摘要:
目的:观察喙锁螺钉与双Endobutton钢板治疗RockwoodⅢ～Ⅴ型肩锁关节脱位的临床疗效,并对两种方法的疗效进行比较。方法:采用电脑随机抽样方法将收治的28例RockwoodⅢ～Ⅴ型肩锁关节脱位患者分为两组,每组14例,分别采用喙锁螺钉治疗和双Endobutton钢板治疗。采用Constant评分和自我评分评价肩关节功能,对两组临床疗效、影像学结果及并发症进行对比。结果:两组患者术后均获6～25个月的随访,平均12.6个月,术后Constant评分和自我评分均高于术前。术后Constant评分和自我评分双Endobutton钢板组为(89.8±8.3)分和(85.7±7.3)分,喙锁螺钉组为(78.0±10.3)分、(71.8±9.7)分,两组比较,前者高于后者。术后3个月两组影像学测量差异无统计学意义(P>0.05)。结论:双Endobutton钢板治疗RockwoodⅢ～Ⅴ型肩锁关节脱位的临床疗效优于喙锁螺钉治疗,其通过解剖方式重建喙锁韧带将成为治疗肩锁关节脱位的未来发展趋势。

参考文献/References:

[1] Rolf O,Hann vWA,Ewers A,et al.Acromioclavicular dislocation Rockwood Ⅲ-Ⅴ:results of early versus delayed surgical treatment[J].Arch Orthop Trauma Surg,2008,128(10):1153-1157.
[2] 冯永增,洪建军,陈鸿亮,等.锁骨钩钢板与双Endobutton钢板治疗肩锁关节脱位的对比研究[J].中华骨科杂志,2009,29(11):1009-1014.
[3] Tauber M,Gordon K,Koller H,et al.Semitendinosus tendon graft versus a modified Weaver-Dunn procedure for acromioclavicular joint reconstruction in chronic cases:a prospective comparative study[J].Am J Sports Med,2009,37(1):181-190.
[4] Constant CR,Murley AH.A clinical method of functional assessment of the shoulder[J].Clin Orthop Relat Res,1987,(214):160-164.
[5] Gilbart MK,Gerber C.Comparison of the subjective shoulder value and the Constant score[J].J Shoulder Elbow Surg,2007,16(6):717-721.
[6] Lim YW,Sood A,Van Riat RP,et al.Acromioclavicular joint reduction,repair and reconstruction using metallic buttons-early results and complications[J].Techniques in Shoulder & Elbow Surgery,2007,8(4):213-221.
[7] Rios CG,Arciero RA, Mazzocca AD.Anatomy of the clavicle and coracoid process for reconstruction of the coracoclavicular ligaments[J].Am J Sports Med,2007,35(5):811.
[8] Costic RS,Labriola JE,Rodosky MW,et al.Biomechanical rationale for development of anatomical reconstructions of coracoclavicular ligaments after complete acromioclavicular joint dislocations[J].Am J Sports Med,2004,32(8):1929.
[9] Moinfar AR,Murthi AM.Anatomy of the pectoralis minor tendon and its use in acromioclavicular joint reconstruction[J].J Shoulder Elbow Surg,2007,16(3):339-346.
[10] Struhl S.Double Endobutton Technique for Repair of Complete Acromioclavicular Joint Dislocations[J].Techniques in Shoulder & Elbow Surgery,2007,8(4):175.
[11] Walz L,Salzmann GM, Fabbro T,et al.The anatomic reconstruction of acromioclavicular joint dislocations using 2 TightRope devices:a biomechanical study[J].Am J Sports Med,2008,36(12):2398-2406.
[12] Boileau P,Old J,Gastaud O,et al.All-arthroscopic Weaver-Dunn-Chuinard procedure with double-button fixation for chronic acromioclavicular joint dislocation[J].Arthroscopy,2010,26(2):149-160.
[13] 庄澄宇,王蕾,王亚梓,等.喙突螺钉固定治疗肩锁关节脱位的初步报告[J].中华创伤骨科杂志,2008,10(10):919-921.

更新日期/Last Update: 2012-05-20