关节镜下Tight Rope悬吊钢板治疗Neer Ⅱ型锁骨远端骨折  

Arthroscopic Surgical Treatment for The Neer Ⅱ Clavicle Fracture with Tight Rope Endobutton Plates

作　　者：竺纬 魏路 孙健[1] 张帆[1] 刘俊建[1] Zhu Wei;Wei Lu;Sun Jian(The Department of Orthopaedics,The 10th People＇s Hospital of Tongji University,Shanghai 200072,China;Medical School of Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学附属第十人民医院骨科,上海200072 [2]同济大学医学院,上海200092

出　　处：《实用骨科杂志》2018年第10期875-877,共3页Journal of Practical Orthopaedics

摘　　要：目的探讨关节镜下Tight Rope悬吊钢板固定术治疗NeerⅡ型锁骨远端骨折的临床疗效。方法分析24例NeerⅡ型锁骨骨折经关节镜下Tight Rope悬吊钢板固定术后的临床结果,其中男13例,女11例;年龄32~65岁,平均(52.7±10.3)岁。通过美国肩与肘协会评分系统(American shoulder and elbow surgeons evaluation form,ASES)对患者在末次随访时的肩关节功能进行评价。结果 24例患者均获得随访,随访时间11~32个月,平均(20.0±5.7)个月。所有患者骨折均愈合,愈合时间为(3.4±0.7)个月。术中发现有2例合并肩胛盂缘上唇自前向后的撕脱(superior labrum from anterior to posterior,SLAP)损伤,有1例合并Bankart损伤,在骨折固定前分别给予修复。患者术后ASES肩关节功能评分77~100分,平均(90.6±6.9)分。结论关节镜下Tight Rope悬吊钢板治疗NeerⅡ型锁骨远端骨折具有损伤小、临床疗效确切、对肩关节活动影响小、不需要二次手术取出内固定物并可同时微创处理关节内合并损伤等优点,可以作为锁骨远端骨折治疗的一个选择。Objective To discuss the clinical results of arthroscopy-assisted Tight Rope fixation in the treatment of Neer Ⅱ clavicle fracture. Methods Twenty-four patients with Neer II clavicle fracture were treated surgically using arthroscopy-assisted Tight Rope fixation in our hospital.The the shoulder joint function were assessed using the rating scale of the American Shoulder and Elbow Surgeons （ASES） at the last follow-up. Results There were 24 patients,including 13 male and 11 female.The patients aged from 32 to 65 （52.7±10.3）.All patients were followed up,and the follow-up time was 11 months to 32 months （20.0±5.7）months.All factures healed.And the average time of healing was （3.4±0.7）months.During the procedures,SLAP injury was found in 2 patients and Bankart injury was found in 1 patient.The injuries were repaired before the fracture fixation.The average score of ASES after the operations was （90.6±6.9）（77 to 100）. Conclusion Arthroscopy-assisted Tight Rope fixation repairs of Neer Ⅱ clavicle fracture results in many good clinical outcomes,such as smaller injury,better clinical effect,less influence on the movement of shoulder joint,no explantation needed and less invasive treatment of the intra-articular injury.The arthroscopy-assisted Tight Rope fixation is a good choice to treat the Neer Ⅱ clavicle fracture in the future.

关 键 词：TIGHT ROPE 锁骨骨折 关节镜 

分 类 号：R683.41[医药卫生—骨科学]