三Endobutton钢板解剖重建喙锁韧带治疗肩锁关节脱位  

Three Endobutton plates in reconstruction of coracoclavicular ligament for the dislocations of the acromioclavicular joint

作　　者：吕书军[1] 曹勇[1] 洪晔[1] 蒋栋[1] 周广鑑[1] 

机构地区：[1]海安县人民医院骨科,江苏海安226600

出　　处：《临床骨科杂志》2012年第1期64-66,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨三Endobutton钢板解剖重建喙锁韧带治疗肩锁关节脱位的初步临床疗效。方法对25例肩锁关节脱位患者应用三Endobutton钢板解剖重建喙锁韧带治疗的临床疗效进行分析。结果 25例均获随访,时间14～29个月。X线检查证实肩锁关节脱位均完全复位。肩关节外展活动范围术前为40°～80°,术后为140°～150°。肩关节功能按Constant标准,评分术前为(66.5±3.2)分,术后3个月为(90.5±2.3)分,术后6个月为(93.5±3.1)分。结论三Endobutton钢板解剖重建喙锁韧带治疗肩锁关节脱位固定确实,不损伤关节面,术后患者可以早期功能锻炼,无需二次手术,疗效满意。Objective To evaluate the clinical results of three Endobutton plates in reconstruction of coracoclavicular ligament for the dislocations of the acromioclavicular joint. Methods 25 patients with the dislocations of the acromi- oclavicular joint were reviewed retrospectively. The Constant evaluation system were used to analyze the clinical effects of triple button plates technique. Results All patients obtained the follow-up and the time was 14 to 29 months. Preoperative shoulder abduction range was 40° to 80°. Postoperative abduction range was 140° to 150° Pre- operative shoulder function according to the standard of Constant score was 66. 5 ＋ 3.2 points. After 3 months, Con- stant score was （ 90. 5 ± 2. 3 ） points, and 6 months Constant score was （ 93.5 ± 3.1 ） points. Conclusions The treatment of dislocations of acromioclavicular joint by using reconstruction of coracoclavicular ligament has satisfactory functional outcome and a few trauma in joint surface ,without the secondary operation.

关 键 词：肩锁关节脱位 ENDOBUTTON钢板 喙锁韧带重建 

分 类 号：R683.42[医药卫生—骨科学] R687.42[医药卫生—外科学]