TightRope与钩钢板治疗急性肩锁关节脱位的对比  

TightRope system versus clavicular hook plate for acute acromioclavicular dislocation

作　　者：黄超[1] 林木良[1] 李桓毅[1] 许福生 HUANG Chao;LIN Mu-liang;LI Huan-yi;XU Fu-sheng(Department of Orthopaedics,The 359th Hospital of PLA,Zhenjiang 212000,China;Department of Orthopaedics,The First Hospital of Wuhan City,Wuhan 430022,China)

机构地区：[1]解放军第359医院骨科,江苏镇江212000 [2]武汉市第一医院骨科,湖北武汉430022

出　　处：《中国矫形外科杂志》2018年第24期2230-2234,共5页Orthopedic Journal of China

摘　　要：[目的]比较TightRope系统与钩钢板治疗RockwoodⅢ型肩锁关节脱位的疗效。[方法] 2014年6月～2015年11月,采用TightRope系统治疗RockwoodⅢ型肩锁关节脱位32例,2008年10月～2010年3月采用钩钢板治疗32例,比较两组患者围手术期资料与随访结果。[结果]两组患者均顺利手术,未发生血管、神经损伤等严重并发症。两组在切口长度、手术时间、术中失血量的差异无统计学意义(P>0.05)。所有患者随访12～26个月,平均(18.23±2.48)个月。术后12个月时,TightRope组的Constant评分疼痛亚评分[(14.38±1.68) vs (10.94±2.35),P<0.05],外展活动亚评分[(9.38±0.94) vs (8.81±1.23),P<0.05],以及总分[(94.31±6.06) vs (89.84±7.31),P<0.05]均显著高于钩板组,两组间差异有统计学意义(P<0.05)。[结论] TightRope系统治疗RockwoodⅢ型肩锁关节脱位的疗效优于AO锁骨钩钢板。[Objective]To compare the clinical outcomes of TightRope system versus clavicular hook plate for the acute Rockwood type Ⅲ acromioclavicular dislocation.[Methods]From June 2014 to November 2015,32 patients were treated with TightRope system,while from October 2008 to March 2010,other 32 patients were treated with AO clavicular hook plate for Rockwood type Ⅲ acromioclavicular joint dislocation.The perioperative and follow up data were compared between the two groups.The Constant score was used for evaluation of the clinical consequences.[Results]All patients had operation performed smoothly without serious complications,such as neurovascular injuries.There were no significant differences in incision length, operation time and intraoperative blood loss between the two groups (P>0.05).The patients were followed up for an average of (18.23±2.48)months (range,12-26 months).At 12 months postoperatively,the TightRope group was significantly superior to the hook plate group regarding to pain subscore [(14.38±1.68)vs (10.94±2.35),P<0.05],abduction subscore [(9.38±0.94)vs (8.81±1.23),P<0.05],and total Constant score [(94.31±6.06)vs (89.84±7.31),P<0.05],where were statistically significant. [Conclusion]The TightRope system used for acromioclavicular dislocation does achieve better clinical outcomes than clavicular hook plate.

关 键 词：肩锁关节脱位 手术治疗 TightRope系统 锁骨钩钢板 

分 类 号：R684.7[医药卫生—骨科学]