带线锚钉与锁骨钩钢板治疗急性TossyⅢ型肩锁关节脱位疗效对比  

Comparison of Curative Effect between Wire Anchor and Clavicular Hook Plate in the Treatment of Acute Tossy TypeⅢAcromioclavicular Dislocation

作　　者：段连鸿[1] 韩珩[1] 陈洁[1] 王欢[1] DUAN Lian-hong;HAN Heng;CHEN Jie;WANG Huan(Department of Orthopaedics Centre,Sinopharm Dongfeng General Hospital,Hubei University of Medicine,Shiyan,Hubei 442008,China)

机构地区：[1]湖北医药学院附属国药东风总医院骨科中心,湖北十堰442008

出　　处：《湖北医药学院学报》2022年第5期458-461,466,共5页Journal of Hubei University of Medicine

基　　金：十堰市科技局引导项目(17Y57)。

摘　　要：目的:比较带线锚钉与锁骨钩钢板手术治疗TossyⅢ型肩锁关节脱位的临床疗效。方法:回顾性分析2016年8月至2020年12月收治的经手术治疗的70例TossyⅢ型肩锁关节脱位患者的临床资料,分成带线锚钉组(n=35)与锁骨钩钢板组(n=35),比较两组的肩锁及喙锁间隙、手术时间、出血量、住院天数、康复周期情况及术后1、6、12月随访时Rowe功能评分、VAS疼痛评分。结果:术后定期随访全部70例患者,带线锚钉组与锁骨钩钢板组间的喙锁及肩锁间隙比较差异无统计学意义(P>0.05),而两组术后1年相比术前的间隙距离均明显缩小(P<0.05);两组的手术时间、住院天数、康复周期比较差异均有统计学意义(P<0.05);术后1、6、12月随访时,带线锚钉组的Rowe功能评分高于锁骨钩钢板组,而VAS疼痛评分低于锁骨钩钢板组,差异有统计学意义(P<0.05)。结论:采用带线锚钉治疗TossyⅢ型肩锁关节脱位,具有微创及快速康复的优势,临床疗效满意。Objective To compare the clinical curative effect of surgical treatment of Tossy typeⅢacromioclavicular dislocation with wire anchor and clavicular hook plate.Methods The clinical data of 70 patients with Tossy typeⅢacromioclavicular dislocation who were treated by surgery from August 2016 to December 2020 were retrospectively analyzed.They were divided into two groups:the wire anchor group(n=35)and the clavicular hook plate group(n=35).The acromioclavicular and coracoclavicular spaces,operation time,blood loss,hospitalization stay and rehabilitation period and Rowe’s function score and VAS pain score at the follow-up of 1,6 and 12 months after operation were compared between the two groups.Results All 70 patients were followed up regularly after surgery,and there was no statistical significance in acromioclavicular and coracoclavicular spaces between the wire anchor group and the clavicular hook plate group(P>0.05),but the gap was significantly reduced at 1 year follow-up after surgery compared with that before surgery(P<0.05).There were statistically significant differences in operation time,hospitalization days and rehabilitation period between the two groups(P<0.05).At 1 month,6 months and 1 year follow-up,Rowe function score of the wire anchor group was higher than that of the clavicular hook plate group,while VAS pain score was lower than that of the clavicular hook plate group,the differences were statistically significant(P<0.05).Conclusion The treatment of Tossy typeⅢacromioclavicular dislocation with wire anchor has the advantages of minimally invasive and rapid recovery,and the clinical efficacy is satisfactory.

关 键 词：肩锁关节脱位 带线锚钉 锁骨钩钢板 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]