TightRope带襻钢板与Endobutton钢板治疗肩锁关节脱位的疗效比较  

Comparison of Therapeutic Effects Between Tightrope Loop Plate and Endobutton Plate in the Treatment of Acromioclavicular Joint Dislocation

作　　者：宁明亮 吴昊 汪亮 杨亚东[2] 李小林 俞明晨 王忍[2] Nin Mingliang;Wu Hao;Wang Liang(不详;Trauma Center,Changzhou Second People’s Hospital,Changzhou 213003,China)

机构地区：[1]常州市第二人民医院创伤中心,常州213003 [2]常州市第七人民医院骨科,常州213003

出　　处：《中国微创外科杂志》2024年第3期202-207,共6页Chinese Journal of Minimally Invasive Surgery

基　　金：常州市卫健委重大项目(ZD202126)。

摘　　要：目的比较TightRope带襻钢板与Endobutton钢板在治疗肩锁关节脱位中的疗效。方法回顾性分析2021年3月~2023年2月常州市第二人民医院创伤中心94例肩锁关节脱位的临床资料,根据时间段分为2组,2021年3月~2022年2月采用Endobutton钢板治疗(E组,n=47),2022年3月~2023年2月采用TightRope带襻钢板治疗(T组,n=47),末次随访比较2组围术期指标、疼痛视觉模拟评分(Visual Analogue Scale,VAS)、Constant-Murley肩关节功能评分及手术并发症发生率。结果T组手术时间、术中出血量、切口长度及术后7 d VAS评分明显短于/低于E组(P<0.05)。2组神经损伤、内固定移位、锁骨骨折、血管损伤及感染发生率无统计差异(χ~2=1.389,P=0.239)。2组术后9个月肩关节功能主客观评分与术前比较均得到明显改善(均P=0.000);术后9个月肩关节功能主客观评分2组比较差异无显著性(P>0.05)。结论TightRope带襻钢板和Endobutton钢板治疗肩锁关节脱位均效果显著,可有效改善患者肩关节功能。与Endobutton钢板比较,TightRope带襻钢板手术创伤更小,出血更少,明显减轻术后疼痛,更有利于患者早期功能锻炼。Objective To compare the efficacy of TightRope loop plate and Endobutton plate in the treatment of acromioclavicular joint dislocation.Methods A retrospective analysis was conducted on 94 patients with acromioclavicular joint dislocation who were treated at this center from March 2021 to February 2023.They were divided into two groups based on different admission date.The Group E(n=47)received Endobutton plate treatment between March 2021 and February 2022,while the Group T(n=47)received TightRope loop plate treatment between March 2022 and February 2023.At the last follow-up,the perioperative indicators,Visual Analogue Scale(VAS),Constant-Murley shoulder joint function scores,and surgical complications were compared between the two groups.Results The surgical time,intraoperative bleeding,incision length,and VAS scores at 7 days after surgery in the Group T were shorter or lower than those in the Group E(P<0.05).There were no statistical differences in the incidence of perioperative nerve injury,internal fixation displacement,clavicle fracture,vascular injury,and infection between the two groups(P>0.05).The subjective and objective scores of Constant-Murley shoulder joint function in both groups at 9 months after surgery showed significant improvement compared to preoperative scores(all P=0.000).There was no significant difference in the subjective and objective scores of Constant-Murley shoulder joint function between the two groups at 9 months after surgery(P>0.05).ConclusionsThe treatment of acromioclavicular joint dislocation with TightRope loop plate ot or Endobutton plate has a significant effect and can effectively improve shoulder joint function.Compared with Endobutton plate,use of TightRope loop plate has minor surgical trauma,less bleeding,and significantly reduced postoperative pain,being more conducive to early functional exercise for patients.

关 键 词：TightRope带襻钢板 ENDOBUTTON钢板 肩锁关节脱位 

分 类 号：R687.4[医药卫生—骨科学]