双Endobutton钢板联合缝合锚重建喙锁韧带治疗Tossy Ⅲ度肩锁关节脱位  

Beak Lock Ligament Reconstruction with Double Endobutton Plate and Suture-anchor in the Treatment of Tossy Ⅲ Dislocation of Acromioclavicular Joint

作　　者：徐军[1] 姜雪峰[1] 刘上楼[1] 孙惠清[1] 周小建[1] 

机构地区：[1]江阴市人民医院骨科,江苏省江阴市214400

出　　处：《组织工程与重建外科杂志》2015年第5期323-326,共4页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探索双Endobutton钢板联合缝合锚重建喙锁韧带,治疗TossyⅢ型肩锁关节脱位的疗效。方法 2009年2月至2010年8月,30例TossyⅢ度肩锁关节脱位患者采用单纯双Endobutton技术重建喙锁韧带(A组);2011年3月至2012年5月,28例TossyⅢ度肩锁关节脱位患者采用双Endobutton钢板联合缝合锚重建喙锁韧带(B组)。根据Karlsson评定标准对两组患者术后肩关节总体疗效进行综合评价。结果A组中肩峰-锁骨端垂直距离>10 mm有3例,肩锁关节间隙宽度>10 mm有3例,而B组中均为0例,两组数据在统计学上差异显著(P<0.05);A、B两组术后肌力及肩关节活动度比较无明显差异(P>0.05),A组疼痛病例数多于B组(P<0.05)。结论双Endobutton钢板联合缝合锚重建喙锁韧带,与单纯双Endobutton技术重建喙锁韧带相比,稳定性更强,术后疼痛症状轻。Objective To explore the outcomes of double Endobutton plate and suture-anchor for beak lock ligament reconstruction in the treatment of Tossy Ⅲ dislocation of acromioclavicular joint. Methods From February 2009 to August 2010, 30 patients with Tossy Ⅲ dislocation of acromioclavicular joint were treated with only Double Endobutton （group A）, while 28 patients with Tossy Ⅲdislocation of acromioclavicular joint were treated with double Endobutton plate and suture-anchor from March 2011 to May 2012 （group B）. The postoperative effect of the shoulder were evaluated and compared between the two groups according to the Karlsson scoring system. Results In group A, the vertical distance from shoulder peak to clavicle side of 3 cases was more than 10 mm, the acromioclavicular joint gap width of 3 cases was more than 10 mm, while no case was observed in group B （P〈0.05）. There was no significant difference in strength and shoulder joint activity between the two groups （P〉0.05）. But the number of cases in pain of group A were more than group B （P〈0.05）. Conclusion Double Endobutton plate and suture-anchor for the treatment of Tossy III dislocation of acromioclavicular joint can lead to more stable outcomes and relieve postoperative pain symptoms.

关 键 词：肩锁关节 喙锁韧带 脱位 重建 

分 类 号：R684.7[医药卫生—骨科学]