双ENDOBUTTON CL钛板与锁骨钩钛板治疗TossyⅢ型肩锁关节脱位效果分析  

Comparison of the outcomes of double ENDOBUTTON CL plate versus clavicular Hook-plate in the treatment of Tossy Ⅲ type dislocation of acromioclavicular articulation

作　　者：朱江[1] 刘文和[1] 李云华[1] 许勐宇[1] 万彬[1] 曾莉[1] 梁华杰[1] 谭小波[1] 张廷帅[1] 

机构地区：[1]清远市人民医院骨科二区,广东511518

出　　处：《中国临床新医学》2014年第4期290-293,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：2013年度广东省清远市第一批科技计划项目(编号:2013B030)

摘　　要：目的：比较双ENDOBUTTON CL钛板与锁骨钩钛板治疗TossyⅢ型肩锁关节脱位的临床效果。方法67例Tossy Ⅲ型肩锁关节脱位患者，采用切开复位锁骨钩钛板内固定术治疗32例（锁骨钩钛板固定组），采用切开复位ENDOBUTTON CL系统内固定术治疗35例（ ENDOBUTTON CL固定组）。对两组进行肩关节功能评定。结果67例患者均得到随访，随访时间8～28（12.4±2.6）个月，脱位全部复位，无再脱位，均恢复正常生活和工作。按照Constant CR标准评定患者术后的肩关节功能恢复情况，锁骨钩钛板固定组优11例，良9例，可7例，差5例，优良率为62.5％（20/32）。 ENDOBUTTON CL固定组优16例，良14例，可4例，差1例，优良率为87.7％（30/35），两组疗效的优良率比较差异有统计学意义（χ2＝4.7577， P＜0.05）。结论双ENDOBUTTON CL 钛板治疗Tossy Ⅲ型肩锁关节脱位的效果好于锁骨钩钛板。Objective To compare the clinical effects of double ENDOBUTTON CL plate versus clavicular hook p-late in the treatment of Tossy Ⅲ type dislocation of acromioclavicular articulation .Methods Sixty-seven pa-tients with Tossy Ⅲtype acromioclavieular dislocation were treated with open reduction and internal fixation .Out of the 67 patients, 32 patients were treated with clavicular hook , 35 patients with ENDOBUTTON CL system .The out-comes were graded into excellent , good, fair and poor according to the Constant CR criterion .Results All 67 pa-tients were followed up from 8 to 28 months[averaged （12.4 ±2.6）months].All acromioclavicular joint dislocation was reduced .All patients recovered from abnormal function and no complication happened .According to the scales of Constant CR, the post-operation shoulder-joint function were excellent in 11 patients, good in 9 patients, fair in 7 pa-tients and poor in 5 patients in the clavicular hook group .The rate of both excellent and good were 62.5%（20/32）;the post-operation shoulder-joint function were excellent in 16 patients, good in 14 patients, fair in 4 patients and poor in 1 patient in the ENDOBUTTON CL System group .The rate of both excellent and good were 87.7%（30/35）. The difference of the rate of both excellent and good had statistical significance between the two groups （χ2 =4.7577 , P〈0.05 ） .Conclusion In the treatment of Tossy Ⅲ acromioclavicular dislocation , fixation of double ENDOBUT-TON CL plate is better than hook plate fixation .

关 键 词：肩锁关节脱位 双ENDOBUTTONCL钛板 锁骨钩钛板 

分 类 号：R683[医药卫生—骨科学]