三明治式带线锚钉修复喙锁韧带联合锁骨钩钢板治疗肩锁关节脱位  

Sandwich style operative treatment of acromioclavicular joint dislocation with suture anchor and clavicular hook plate

作　　者：孔祥喆[1] 谢庆云 黄鹏[1] KONG Xiangzhe;XIE Qingyun;HUANG Peng(Department of Orthopaedics,Liaoyang Central Hospital,China Medical University,Liaoyang 111000,Liaoning,China;Department of Orthopaedics,General Hospital of Western Theater Command,Chengdu 610083,China)

机构地区：[1]中国医科大学辽阳中心医院骨科,辽宁辽阳111000 [2]西部战区总医院骨科,四川成都610083

出　　处：《西部医学》2020年第8期1166-1169,共4页Medical Journal of West China

摘　　要：目的探讨三明治式带线锚钉修复喙锁韧带联合锁骨钩钢板治疗肩锁关节脱位的初期临床效果。方法选取2015年1月~2017年1月中国医科大学辽阳中心医院行手术治疗肩锁关节脱位的30例患者为研究对象,其中按Tossy分型标准,Ⅱ型17例,Ⅲ型13例。临床评估包括术后并发症、影像学表现、肩关节Karlsson评分、Constant-Murley评分(CMS评分)及疼痛视觉模拟评分(VAS评分)。结果术后随访8~24个月,平均15个月。肩关节Karlsson评分系统评估手术疗效:优24例,良5例,一般1例;术后并发症为3.4%(1例疼痛);CMS及VAS评分分别为(94.5±5.5)分、(1.0±0.5)分。无再脱位发生。结论三明治式带线锚钉修复喙锁韧带联合锁骨钩钢板治疗肩锁关节脱位方法有效,能减少术后活动疼痛,并使功能恢复理想;固定强度较高,带线锚钉三明治修复可避免拆除内固定后再脱位发生,且术后效果与手术操作及韧带重建的效果相关。Objective To investigate the Sandwich style method of using suture anchor and clavicular Hook plate in the treatment of dislocation of acromioclavicular joint.Methods From Jan.2015 to JAN.2017,30 cases of dislocation of acromioclavicular joint were treated with Sandwich style Operative with suture anchor and clavicular Hook plate.According to the Tossy classification,there were 17 of type Ⅱ,13 of type Ⅲ.Clinical evaluation included postoperative complications,radiographic findings,shoulder joint Karlsson,Constant Murley score(CMS score).Results The average period of follow-up was 15 months(range,8 to 24 months).According to Karlsson criterion,24 were excellent,5 were good,and 1 were fair.There was no case with superficial infection,1 was with a constant pain.The Constant-Murley scores was 94.5±5.5.The VAS scores was 0.8±0.5.No further dislocation occurred.Condusion Sandwich style operative with suture anchor and clavicular Hook plate is an effective method for the treatment of dislocation of acromioclavicular joint.It can reduce the pain of postoperative activities and make the functional recovery ideal.The fixation strength is high.The sandwich repair with wire anchor bolt avoids the dislocation after removing the internal fixation.The results are related to reduction quality,timing of surgery and rebuilt quality.

关 键 词：肩锁关节脱位 带线锚钉 锁骨钩钢板 疗效 喙锁韧带 

分 类 号：R684.7[医药卫生—骨科学]