双Endobutton技术治疗肩锁关节脱位临床疗效分析  

Clinical Effect Analysis of Double Endobutton Technique in the Treatment of Acromioclavicular Joint Dislocation

作　　者：袁开华[1] 胡祥怀[1] 高宏斌[1] 张运峰[1] 王东[1] 

机构地区：[1]巢湖市第一人民医院,安徽238000

出　　处：《安徽卫生职业技术学院学报》2012年第4期30-31,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的：观察应用双Endobutton技术对新鲜TossyⅢ型肩锁关节脱位进行切开复位固定手术的治疗效果。方法：对2011年2月～2012年3月某科收治的7例新鲜TossyⅢ型肩锁关节脱位的病人运用双Endobutton技术,进行手术治疗,术后随访2~11个月。结果：术后采用Karlsson疗效评价标准,7例患者中,A级5例,B级2例,未发生锁骨下血管、神经损伤,术后无感染,内固定无松动及脱出,X线片肩锁关节无再脱位发生,Endobutton位置良好,2周左右可行无痛自由活动。结论：研究证明,这一技术对于固定肩锁关节是一种安全、有效的方法。Objective： To observe the therapeutic effect of open reduction and fixation in the treatment of To.ssy m acromioclavicular joint dislocation using double Endobutton technique. Methods： From Feb. 2011 to Mar. 2012, 7 patients with Tossy 111 acromioclavicular joint dislocation were treated with double Endobutton technique. After the operation, they were followed up from 2 to 11 months. Results： According to Karlsson result evaluation system, 5 patients were A grade and 2 patients B grade. There were no subclavian vessels, nerve injury or postoper- ative infection. The internal fixation did not loosen and X-ray acromioclavicular joint re-dislocation did not hap- pen. The location of Endobutton was fine and the patients could move freely and painlessly 2 weeks later. Conclu- sion： Short-term effects prove that this technique is a safe and effective method to fix the acromioclavicular joint.

关 键 词：肩锁关节脱位 喙锁韧带 Endobutton带袢钢板 

分 类 号：R684.7[医药卫生—骨科学]