中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (39): 7336-7339.doi: 10.3969/j.issn.1673-8225.2011.39.029

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

微创喙锁韧带重建与锁骨钩钢板置入内固定治疗TossyⅢ型肩锁关节脱位:功能恢复的对照比较

刘  燚,崔志明,崔胜宇,崔道然,严建军   

  1. 南通大学第二附属医院,南通市第一人民医院骨科,江苏省南通市226001
  • 收稿日期:2011-04-19 修回日期:2011-07-08 出版日期:2011-09-24
  • 通讯作者: 严建军,主任医师,南通大学第二附属医院,南通市第一人民医院骨科,江苏省南通市226001 yanjianjun2011@yahoo.com.cn
  • 作者简介:刘燚★,男,1984年生,江苏省南通市人,汉族,南京医科大学毕业,硕士,医师,主要从事创伤、关节骨科方面的研究。 liuy2003_1984@yahoo.cn

Comparison of two methods for the treatment of Tossy type Ⅲ acromioclavicular joint dislocation: Minimally invasive coracoclavicular ligament reconstruction and clavicular hook interior fixation

Liu Yi, Cui Zhi-ming, Cui Sheng-yu, Cui Dao-ran, Yan Jian-jun   

  1. Department of Orthopedics, Nantong first People’s Hospital, the Second Affiliated Hospital of Nantong University, Nantong  226001, Jiangsu Province, China
  • Received:2011-04-19 Revised:2011-07-08 Online:2011-09-24
  • Contact: Yan Jian-jun, Chief physician, Department of Orthopedics, Nantong first People’s Hospital, the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China yanjianjun2011@yahoo.com.cn
  • About author:Liu Yi★, Master, Physician, Department of Orthopedics, Nantong first People’s Hospital, the Second Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China liuy2003_1984@yahoo.cn

摘要:

背景:以往采用交叉克氏针固定、克氏针张力带固定、喙锁螺钉、桥接技术等治疗TossyⅢ型肩锁关节脱位的效果都不是很满意。
目的:分析微创喙锁韧带重建与锁骨钩钢板置入内固定治疗TossyⅢ型肩锁关节脱位的疗效差异。
方法:将63例TossyⅢ型肩锁关节脱位患者随机分为两组,分别采用微创喙锁韧带重建与锁骨钩钢板置入内固定治疗。
结果与结论:微创喙锁韧带重建组治疗后第1个月Karlesson疗效评价肩锁关节功能优质率为92%,第3个月为88%;锁骨钩钢板置入内固定组治疗后1个月Karlesson疗效评价肩锁关节功能优质率为79%,第3个月为76%。微创喙锁韧带重建组治疗后第1,3个月肩锁关节功能恢复优质率高于锁骨钩钢板置入内固定组(P < 0.05)。说明运用微创喙锁韧带重建治疗TossyⅢ型肩锁关节脱位较锁骨钩钢板置入内固定操作方便,创伤较小,疗效更加安全可靠。

关键词: 肩锁关节脱位, 喙锁韧带重建, 锁骨钩钢板内固定, 肩锁关节, 医学植入物

Abstract:

BACKGROUND: Crossing Kirschner wire, Kirschner’s tension-band, coracoclavicular screw, and bridging technique have no satisfactory effects on Tossy type Ⅲ acromioclavicular joint dislocation.
OBJECTIVE: To compare the therapeutic effects of two methods to treat Tossy type Ⅲ acromioclavicular joint dislocation with minimally invasive coracoclavicular ligament reconstruction and clavicular hook interior fixation.
METHODS: A total of 63 patients with Tossy type Ⅲ acromioclavicular joint dislocation were treated with minimally invasive coracoclavicular ligament reconstruction and clavicle hook interior fixation.
RESULTS AND CONCLUSION: According to Karlsson evaluation standard, the excellent rate in group Ⅰ was 92% at the end of the first month, 88% in the third month after operation. Meanwhile the excellent rate in group Ⅱ was 79% at the first month, 76% in the third month after operation. The difference of the excellent rate between these two groups were significant (P < 0.05). Compared to the clavicular hook interior fixation, the minimally invasive coracoclavicular ligament reconstruction is more convenient, safe and effective for Tossy type Ⅲ acromioclavicular joint dislocation with less trauma.

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