双带袢纽扣钢板与锁骨钩钢板治疗Tossy Ⅲ型肩锁关节脱位的回顾性研究  

Retrospective Study of Double Loop Button Plate and Clavicular Hook Plate in the Treatment of Tossy Ⅲ Acromioclavicular Dislocation

作　　者：林星良 何萍 LIN Xingliang;HE Ping(Department of Orthopaedics,the Second Affiliated Hospital of Gannan Medical College,Xinfeng 341600,China;不详)

机构地区：[1]赣南医学院第二附属医院骨科,江西信丰341600 [2]赣南医学院第二附属医院院感科,江西信丰341600

出　　处：《中国医学创新》2025年第6期38-41,共4页Medical Innovation of China

摘　　要：目的:探讨双带袢纽扣钢板与锁骨钩钢板治疗Tossy Ⅲ型肩锁关节脱位的效果。方法:回顾性选取2020年5月—2022年5月在赣南医学院第二附属医院进行手术治疗的Tossy Ⅲ型肩锁关节脱位患者80例,根据不同的治疗方法分为纽扣组(n=36,实施双带袢纽扣钢板治疗)和锁骨钩组(n=44,实施锁骨钩钢板治疗)。比较两组手术相关指标、视觉模拟评分法(VAS)评分、疗效、肩关节功能、肩关节前屈上举和外展上举活动度及并发症发生率。结果:纽扣组与锁骨钩组的手术时间、术中出血量、住院时间比较,差异均无统计学意义(P>0.05);术后3个月纽扣组的VAS评分较锁骨钩组低,差异有统计学意义(P<0.05);纽扣组优良率较锁骨钩组高,差异有统计学意义(P<0.05);术后3个月,纽扣组的肩关节活动度大于锁骨钩组,Constant-Murley评分高于锁骨钩组,差异均有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:使用双带袢纽扣钢板治疗Tossy Ⅲ型肩锁关节脱位效果确切,可以更好地促进肩关节功能恢复。Objective:To investigate the effect of double loop button plate and clavicular hook plate in the treatment of Tossy Ⅲ acromioclavicular dislocation.Method:A total of 80 patients with Tossy Ⅲ acromioclavicular dislocation who received surgical treatment in the Second Affiliated Hospital of Gannan Medical College from May 2020 to May 2022 were retrospectively selected and divided into button group(n=36,treated with double loop button plate)and clavicular hook group(n=44,treated with clavicular hook plate)according to different treatment methods.The operation related indexes,visual analogue scale(VAS)score,curative effect,shoulder joint function,flexion lift and abduction lift of shoulder joint and complication rate were compared between the two groups.Result:There were no significant differences in operation time,intraoperative blood loss and hospital stay between the button group and the clavicular hook group(P>0.05).The VAS score of the button group was lower than that of the clavicular hook group 3 months after surgery,the difference was statistically significant(P<0.05).The excellent and good rate of button group was higher than that of clavicular hook group,the difference was statistically significant(P<0.05).3 months after surgery,the shoulder joint motion in button group were higher than those in clavicular hook group,and the Constant-Murley score was higher than that in clavicular hook group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:The use of double loop button plate in the treatment of Tossy Ⅲ acromioclavicular dislocation has a definite effect,which can better promote the functional recovery of shoulder joint.

关 键 词：双带袢纽扣钢板 锁骨钩钢板 TossyⅢ型肩锁关节脱位 

分 类 号：R687.4[医药卫生—骨科学]