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  

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

作　　者：刘燚[1,2] 崔志明[1,2] 崔胜宇[1,2] 崔道然[1,2] 严建军[1,2] 

机构地区：[1]南通大学第二附属医院 [2]南通市第一人民医院骨科,江苏省南通市226001

出　　处：《中国组织工程研究与临床康复》2011年第39期7336-7339,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

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。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.

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 

分 类 号：R318[医药卫生—生物医学工程]