带绊纽扣钢板治疗TossyⅢ型肩锁关节脱位的临床研究  

Clinical study on the treatment of acromioclavicular joint dislocation of Tossy Grade Ⅲ with double endobutton

作　　者：朱让腾[1] 应有荣[1] 高福明[1] 王斌[1] 陈明[1] 应光华[1] 张德清[1] 马毅[1] 

机构地区：[1]台州医院路桥院区,浙江台州318050

出　　处：《中国骨伤》2009年第9期653-654,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的:初步探讨采用带绊纽扣钢板内固定治疗肩锁关节脱位的临床疗效。方法:2007年7月至2008年12月采用带绊纽扣钢板内固定治疗TossyⅢ型肩锁关节脱位27例,男17例,女10例;年龄23～60岁,平均(35.0±1.3)岁;交通事故伤14例,工伤6例,运动伤4例,摔伤3例;左侧16例,右侧11例。均为TossyⅢ型,无合并锁骨骨折。治疗后参照Karlsson评价标准,根据肩部活动度、疼痛程度、肌力及肩锁关节复位X线表现情况进行疗效评定。结果:27例均获随访,时间6～14个月,平均10.2个月,根据疗效标准,优24例,良2例,差1例。结论:带绊纽扣钢板内固定可靠,手术创伤小,更符合生物力学,可早期功能锻炼,为治疗肩锁关节脱位提供了新的选择。Objective：To investigate the clinical effects of internal fixation with double endobutton for the treatment of acromioclavicular joint dislocation of Tossy Grade m. Methods：From 2007.7 to 2008.12,27 patients with acromioelavieular joint dislocation of Tossy Grade Ⅲ were fixed with double endobutton. Among the patients, 17 patients were male and 10 patients were female,with an average age of （35.0±1.3） years （ranged from 23 to 60 years）. Fourteen patients were injured by traffic accident,6 patients were work-related injuries,4 patients were sports injuries,and 3 patients were injured by falling down. Sixteen patients had injuries in the left,and 11 patients in the right. All the patients were Tossy Ⅲ type dislocation without clavicle fracture. The therapeutic effects were evaluated by Karlsson criteria based on range of montion of acromioclavieular joint,pain,muscle force and pos-treduction X-ray. Results：All the patients were followed up for 6 to 14 months,mean 10.2 months. According to the Karlsson score criteria, 24 patients obtained an excellent result, 2 fair and 1 poor. Conclusion ： Fixation with double endobutton is to be a new method for the treatment of aeromioclavieular joint dislocation, which has the advantages of minimal trauma, reliable fixation, early functional rehabilitation and so on.

关 键 词：肩锁关节 脱位 内固定器 韧带 修复外科手术 

分 类 号：R684.7[医药卫生—骨科学] R683.420.5[医药卫生—外科学]