双Endobutton技术对TossyⅢ型肩锁关节脱位的疗效观察  

The efficacy of double Endobutton technique on Tossy typeⅢacromioclavicular joint dislocation

作　　者：郑勇红 蒋臻 Zheng Yonghong

机构地区：[1]浙江省淳安县第一人民医院,311700

出　　处：《浙江临床医学》2024年第11期1618-1620,共3页Zhejiang Clinical Medical Journal

基　　金：杭州市医药卫生科技计划项目(B20231634)。

摘　　要：目的探讨双Endobutton技术在治疗TossyⅢ型肩锁关节脱位(AJD)的疗效,以及其对关节功能和生活质量的影响。方法选取2021年1月至2023年12月在本院接受治疗的TossyⅢ型AJD患者65例,根据治疗方法不同分为锁骨钩钢板(CHP)组34例和双Endobutton组31例,比较两组患者临床相关指标、关节功能、生活质量和临床疗效。结果与CHP组比较,双Endobutton组患者手术时间更长(P<0.05),但切口长度、住院和恢复工作时间更短(P<0.05)。与术前比较,两组患者术后6个月Constant-Murley肩关节功能各维度评分及总分均有所提高(P<0.05),双Endobutton组患者的评分提高更为显著(P<0.05)。与术前比较,两组患者术后6个月西安大略肩关节不稳指数(WOSI)各维度评分和总分均有提高(P<0.05),双Endobutton组的提高更为显著(P<0.05)。双Endobutton组临床疗效优良率为96.77%,高于CHP组的79.41%(P<0.05)。结论双Endobutton技术在治疗TossyⅢ型AJD患者时,能够提高临床疗效,改善关节功能,提升生活质量,促进患者康复。Objective To explore the efficacy of the double Endobutton technique in the treatment of Tossy type III acromioclavicular joint dislocation(AJD)and its impact on joint function and quality of life.Methods Sixty five patients with Tossy type III AJD treated at our hospital from January 2021 to December 2023,were selected and divided into two groups based on the treatment method:the clavicle hook plate(CHP)group with 34 cases and the double Endobutton group with 31 cases.Clinical indicators,joint function,quality of life,and clinical efficacy were compared between the two groups.Result Compared with the CHP group,the double Endobutton group had a longer surgery time(P<0.05),but shorter incision length,hospital stay,and returnto-work time(P<0.05).Compared with before surgery,both groups showed improved Constant-Murley shoulder joint function scores and total scores at six months postoperatively(P<0.05),with more significant improvements in the double Endobutton group(P<0.05).Similarly,compared with before surgery,both groups had improved Western Ontario Shoulder Instability Index(WOSI)scores and total scores at six months postoperatively(P<0.05),with more significant improvements in the double Endobutton group(P<0.05).The clinical efficacy good and excellent rate of the double Endobutton group was 96.77%,higher than the CHP group's 79.41%(P<0.05).Conclusion The application of dual Endobutton technology in Tossy type III AJD patients can improve clinical efficacy,enhance patient joint function,increase quality of life,and promote faster recovery.

关 键 词：肩锁关节脱位 TossyⅢ型 双Endobutton技术 疗效 关节功能 

分 类 号：R687.4[医药卫生—骨科学]