钩钢板联合喙肩韧带转位治疗肩锁关节脱位的疗效分析  

Efficacy Analysis of Hook Plate Combined with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation

作　　者：朱伟 周永其[1] 冯欢欢[1] Zhu Wei;Zhou Yong-qi;Feng Huan-huan(Department of Orthopedics,Taicang Hospital of Traditional Chinese Medicine(Taicang Affiliated Hospital of Nanjing University of Chinese Medicine),Taicang 215400,Jiangsu Province,China)

机构地区：[1]太仓市中医医院(南京中医药大学太仓附属医院)骨伤科,江苏太仓215400

出　　处：《中国社区医师》2022年第27期30-32,共3页Chinese Community Doctors

摘　　要：目的:探讨锁骨钩钢板加强固定联合喙肩韧带转位重建喙锁韧带治疗肩锁关节脱位的临床疗效。方法:选取2016年9月-2019年9月太仓市中医医院收治的30例肩锁关节脱位(RockwoodⅢ、Ⅳ型)患者,采用喙肩韧带转位联合锁骨钩钢板固定加强治疗,所有患者于术后0.5~1年拆除锁骨钩钢板,手术前后拍摄肩关节DR,评价肩锁关节复位的维持情况。使用视觉模拟评分(VAS)及Constant-Murley肩关节功能评分评价患者的疼痛及肩关节功能。结果:30例患者随访12~35个月,对生活工作无明显影响。取出锁骨钩钢板后3个月复查DR片,提示没有发生明显的复位丢失、骨吸收、骨溶解等并发症,肩锁关节间隙及喙锁间距正常。肩锁关节脱位术后6个月与取出内固定术后3个月的VAS评分、肩关节Constant-Murley评分比较,差异无统计学意义(P>0.05)。结论:手术转位喙肩韧带联合锁骨钩钢板固定加强是治疗肩锁关节脱位(RockwoodⅢ、Ⅳ型)的有效方法,符合生物力学,疗效显著,固定可靠,并发症少。Objective:To evaluate the clinical efficacy of clavicular hook plate enhanced fixation combined with coracoacromial ligament translocation in treatment of acromioclavicular joint dislocation.Methods:Thirty patients with acromioclavicular joint dislocation(RockwoodⅢ,Ⅳtype)who treated in Taicang Hospital of Traditional Chinese Medicine from September 2016 to September 2019 were selected and treated with clavicular hook plate enhanced fixation combined with coracoacromial ligament translocation.All patients had the clavicular hook plates removed at 0.5~1 year after surgery,DR image of shoulder joint was photographed before and after surgery to evaluate the maintenance of acromioclavicular joint reduction.The visual analog scale(VAS)score and Constant-Murley shoulder joint function score were used to evaluate the patients'pain and shoulder joint function.Results:The 30 patients were followed up for 12~35 months,and there was no significant effect on their life and work.The DR examination was performed at 3 months after the clavicle hook plate was removed,indicating that there were no obvious complications such as reduction loss,bone resorption,and osteolysis,and the acromioclavicular joint space and coracoacromial space were normal.There was no significant difference in VAS scores and shoulder Constant-Murley scores between 6 months after acromioclavicular joint dislocation surgery and 3 months after removal of internal fixation(P>0.05).Conclusion:Clavicular hook plate enhanced fixation combined with coracoacromial ligament translocation for acromioclavicular joint dislocation(RockwoodⅢ,Ⅳtype)is an effective method,which conforms to biomechanics,has significant efficacy,reliable fixation and fewer complications.

关 键 词：肩锁关节脱位 锁骨钩钢板 喙肩韧带 

分 类 号：R687.4[医药卫生—骨科学]