带线锚钉弹性内固定与锁骨钩钢板内固定治疗肩锁关节脱位的Meta分析  

Curative effect comparison analysis of fixation with suture anchor and hook plate for acromioclavicular joint dislocation

作　　者：李广峰 曹烈虎[2] 王思成 尹志峰 曹中华 李全[2] 苏佳灿[2] Li Guangfeng;Cao Liehu;Wang Sicheng;Yin Zhifeng;Cao Zhonghua;Li Quan;Su Jiacan(Department of Orthopaedics,Shanghai Zhongye Hospital,Shanghai 200941,China;Deparpment of Orthopaedic Trauma,Changhai Hospital of Second Military Medical University,Shanghai 200433,China)

机构地区：[1]上海中冶医院骨科,200941 [2]第二军医大学附属长海医院创伤骨科,上海200433

出　　处：《中华肩肘外科电子杂志》2017年第3期199-206,共8页Chinese Journal of Shoulder and Elbow(Electronic Edition)

基　　金：国家自然国际合作基金(8141101156);上海市科委生物医药专项(154119500600)

摘　　要：目的通过Meta分析方法分析带线锚钉弹性内固定与锁骨钩钢板内固定方式治疗肩锁关节脱位的疗效及并发症并进行比较。方法计算机检索Cochrane Library、Pub Med、Medline、Embase、CNKI、VIP等数据库;手工检索中文知名骨科杂志的相关文献。查阅锚钉内固定与锁骨钩钢板内固定治疗肩锁关节脱位的对照研究。提取各研究中观测指标数据,运用Revman 5.3软件对其进行分析和处理。结果经筛选后最终纳入10篇文献,共纳入患者602例。Meta分析结果显示,两种方式在疗效、优良率、肩关节疼痛、肩关节活动受限、内固定物失效、再脱位等术后并发症方面的差异均有统计学意义(P<0.05)。结论锚钉弹性内固定治疗肩锁关节脱位的疗效和优良率均优于锁骨钩钢板内固定方式。带线锚钉弹性内固定产生肩关节疼痛、活动受限、内固定物失效、再脱位等并发症方面少于锁骨钩钢板内固定方式。Background Acromioclavicular joint dislocation is one of the common shoulder injuries,mostly caused by direct violence on shoulder.It acco unts for about 6%of whole-body fractures and dislocations,and 12%of shoulder injuries.Acromioclavicular dislocation is often accompanied with complete or incomplete rupture of the acromioclavicular ligament and coracoclavicular ligament.This injury is mainly caused by falling.In China,falling from non-motor vehicles is the most common cause of this injury,while in developed countries,this injury is most common in young athletes.Clinically,there are many classifications of acromioclavicular joint dislocation,of which Tossy classification and Rockwood classification are most commonly applied.Tossy type I and type II injury can be treated conservatively and the effect is generally satisfactory.Tossy type III means the complete dislocation of the acromioclavicular joint,accompanied with the complete rupture of acromioclavicular ligament and coracoclavicular ligament and the complete destruction of the stability of joint structure.Surgical treatment is necessary because the conservative treatment is of poor efficacy.

关 键 词：锚钉 锁骨钩钢板 肩锁关节脱位 META分析 

分 类 号：R687.3[医药卫生—骨科学]