Tightrope钢板可靠定位治疗TossyⅢ度肩锁关节脱位的临床效果分析  

Analysis of clinical effect is of reliable positioning of Tightrope plate in the treatment of acromioclavicular joint dislocation of Tossy grade joint dislocation of Tossy grade Ⅲ

作　　者：陈泽雁[1] 陈柏春[1] 张镇锋[1] 刘春辉 莫子亮[1] 王国亮[1] CHEN Ze-yan;CHEN Bai-chun;ZHANG Zhen-feng(Guangzhou Development Zone Hospital,Guangzhou 510730,China)

机构地区：[1]广州开发区医院

出　　处：《中国实用医药》2019年第28期9-11,共3页China Practical Medicine

摘　　要：目的分析Tightrope钢板可靠定位治疗TossyⅢ度肩锁关节脱位的临床效果。方法40例TossyⅢ度肩锁关节脱位患者,随机分为对照组和观察组,每组20例。对照组患者采用传统切开复位锁骨钩钢板内固定术,观察组患者采用Tightrope钢板可靠定位内固定术。术后随访12个月,比较两组手术时间、术中出血量、手术切口长度、Karlsson分级情况。结果观察组患者的手术时间(48.0±8.0)min、手术切口长度(4.3±0.4)cm均短于对照组的(90.0±15.0)min、(6.8±0.7)cm,术中出血量(40.0±12.0)ml少于对照组的(122.0±45.0)ml,差异具有统计学意义(P<0.05)。观察组患者的优率80%显著高于对照组的45%,差异具有统计学意义(P<0.05)。结论采用Tightrope钢板可靠定位治疗TossyⅢ度肩锁关节脱位手术时间短,损伤小,术中出血量少,术后肩关节活动恢复良好,值得临床推广应用。Objective To analyze the clinical effect of reliable positioning of Tightrope plate in the treatment of acromioclavicular joint dislocation of Tossy gradeⅢ.Methods A total of 40 patients with acromioclavicular joint dislocation of Tossy grade Ⅲ were randomly divided into control group and observation group,with 20 cases in each group.The control group was treated with traditional open reduction and clavicle hook plate internal fixation,and the observation group was treated with Tightrope plate reliable positioning internal fixation.After 12 months of follow-up,comparison was made on operation time,amount of intraoperative hemorrhage,length of operative incision and Karlsson grading between the two groups.Results The operation time(48.0±8.0)min,length of operative incision(4.3±0.4)cm in the observation group were shorter than(90.0±15.0)min and(6.8±0.7)cm in the control group,and amount of intraoperative hemorrhage(40.0±12.0)ml was less than(122.0±45.0)ml in the control group.Their difference was statistically significant(P<0.05).The excellent rate was 80%in the observation group,which was significantly higher than 45%in the control group,and the difference was statistically significant(P<0.05).Conclusion Reliable positioning of Tightrope plate provides short operation time,less injury,less hemorrhage during operation and good shoulder movement recovery after operation.It is worthy of clinical promotion and application.

关 键 词：Tightrope钢板 可靠定位 TossyⅢ度肩锁关节脱位 锁骨钩钢板 

分 类 号：R687.4[医药卫生—骨科学]