单一小切口带袢钛板与锁骨钩板内固定治疗Rockwood Ⅲ型肩锁关节脱位的临床疗效  

Comparison of Minimally Invasive Single-incision Endobutton Plate with Clavicle Hook Plate in Treatment of RockwoodⅢAcromioclavicular Dislocation

作　　者：何智灵 双峰[1] 王超[1] 赵岚[1] 姜文华 HE Zhiling;SHUANG Feng;WANG Chao(Department of Orthopedics,the 908th Hospital of PLA Joint Logistic Support Force,Nanchang Jiangxi 330002)

机构地区：[1]中国人民解放军联勤保障部队第908医院骨科,江西南昌330002

出　　处：《医学临床研究》2024年第1期14-17,21,共5页Journal of Clinical Research

基　　金：江西省自然科学基金资助项目(20171BAB205032)。

摘　　要：【目的】探讨单一小切口带袢钛板与锁骨钩板内固定治疗RockwoodⅢ型肩锁关节脱位的临床效果。【方法】回顾性分析本院2018年1月至2021年1月收治的33例RockwoodⅢ型肩锁关节脱位患者,根据治疗方法不同分为对照组(采用锁骨钩板内固定治疗,n=17)和观察组(采用带袢钛板内固定治疗,n=16)。比较两组手术时间、住院天数、术中失血量、手术切口长度、肩部疼痛视觉模拟评分法(VAS)评分、术后并发症、肩关节功能Constant-Murley评分。【结果】观察组患者住院时间、手术切口长度短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。观察组术后7 d、30 d、90 d、180 d及最后随访时肩部疼痛VAS评分均低于对照组,肩关节功能Constant-Murley评分优于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为12.5%(2/16),显著低于对照组的52.9%(9/17),差异有统计学意义(P<0.05)。【结论】单一小切口带袢钛板内固定治疗RockwoodⅢ型肩锁关节脱位术后并发症少、创伤小、肩关节功能恢复快,值得临床推广应用。【Objective】To compare the effects of minimally invasive single-incision endobutton plate with clavicle hook plate in the treatment of RockwoodⅢacromioclavicular joint dislocation.【Methods】A total of 33 patients with RockwoodⅢacromioclavicular joint dislocation who were treated in our hospital from January 2016 to January 2018 were selected and divided into the endobutton plate group(the observation group,16 cases)and the clavicle hook plate group(the control group,17 cases)according to the random number table.The perioperative indicators,operating time,hospital stays,intraoperative blood loss,length of the incision,shoulder pain(visual analogue scale,VAS)score,shoulder function Constant-Murley score and postoperative complications were compared between the two groups.【Results】The length of the incision and hospital stays in the observation group were shorter than those in the control group(P<0.05).The intraoperative blood loss in the observation group was less than that in the control group(P<0.05).After 1 week,1 month,3 months,6 months and the last time of follow-up,the Constant-Murley score of the observation group was higher than that of the control group and the VAS score of the observation group was lower than that of the control group(P<0.05).The complication rate of the observation group was 12.5%(2/16),which was significantly lower than that of control group 52.9%(9/17),and the difference was statistically significant(P<0.05).【Conclusion】For patients with RockwoodⅢacromioclavicular joint dislocation,Single-incision double button plate fixation obtains less complications,fewer operative trauma and good shoulder joint function,which is an ideal treatment.

关 键 词：骨板 骨折固定术 内/方法 肩锁关节/损伤 肩脱位/外科学 锁骨/外科学 

分 类 号：R684.7[医药卫生—骨科学]