改良Double-Endobutton技术并Nice结治疗RockwoodⅢ-Ⅴ型肩锁关节脱位  

Modified Double-Endobutton technique combined with Nice knot in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation

作　　者：马中兴 杜银华 吴栋 MA Zhong-xing;DU Yin-hua;WU Dong(Zhangjiagang Sixth People's Hospital,Suzhou215600,Jiangsu,China)

机构地区：[1]张家港市第六人民医院,江苏苏州215600

出　　处：《中国骨伤》2020年第8期703-706,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨改良Double-Endobutton技术联合Nice结修复肩锁韧带治疗RockwoodⅢ-Ⅴ型肩锁关节脱位的临床疗效。方法:自2016年3月至2019年1月采用改良Double-Endobutton技术重建喙锁韧带联合Nice结修复肩锁韧带治疗23例RockwoodⅢ-Ⅴ型肩锁关节脱位患者,其中男18例,女5例;年龄31~53(43.2±5.4)岁;左侧9例,右侧14例;受伤至手术时间为1~10 d。术前均行双侧肩关节正位X线片及患肩关节CT三维重建,术后观察患者并发症情况,术后6个月时采用DASH及Constant-Murley评分评估治疗效果。结果:术后切口均Ⅰ期愈合,无血管、神经损伤及应力性骨折等并发症发生。所有患者获得随访,时间6~24(12.0±4.9)个月。术后6个月随访时DASH评分0.40±0.10较术前19.80±4.50降低;Constant-Murley评分94.20±4.20较术前38.60±3.90提高。结论 :采用改良DoubleEndobutton技术并Nice结治疗RockwoodⅢ-Ⅴ型肩锁关节脱位早期临床疗效满意,远期疗效和并发症需进一步随访。Objective:To explore the clinical effect of the modified double Endobutton technique combined with Nice node in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation. Methods:From March 2016 to January 2019,23 patients with Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation were treated with modified double Endobutton technique to reconstruct coracoclavicular ligament and Nice node to repair acromioclavicular ligament,including 18 males and 5 females,aged 31 to 53(43.2±5.4) years,9 on the left and 14 on the right,and the time from injury to operation was 1 to 10 days. Before operation,X ray films and CT three dimensional reconstruction of bilateral shoulder joint were performed. Postoperative complications were observed. Six months after operation,DASH and Constant-Murley scores were used to evaluate the treatment effect. Results:The incision healed in one stage after operation,and no complications such as vascular and nerve injury and stress fracture occurred. All patients were followed up for 6 to 24(12.0±4.9) months. At 6 months follow up,the DASH score was 0.40±0.10 lower than that of 19.80±4.50 before operation,and the Constant-Murley score was 94.20 ±4.20 higher than that of 38.60±3.90 before operation. Conclusion:The treatment of Rockwood Ⅲ-Ⅴ dislocation of acromioclavicular joint with double Endobutton technique and nice knot is satisfactory in the early stage. The long term effect and complications need further follow up.

关 键 词：肩锁关节 肩脱位 韧带 内固定器 

分 类 号：R687.4[医药卫生—骨科学]