两种钢板内固定治疗创伤性肩锁关节脱位的疗效比较  

Comparison of clinical efficacy of two types of plates internal fixation for treatment of traumatic acromioclavicular dislocation

作　　者：周海兵[1] 罗志军[1] 张善征 江开明[1] ZHOU Hai-bing;LUO Zhi-jun;ZHANG Shan-zheng;JIANG Kai-ming(Dept of Orthopaedics,Quzhou Hospital of Zhejiang Provincial Medical Health Group,Zhejiang Quhua Hosptial,Quzhou,Zhejiang 324004,China)

机构地区：[1]浙江省医疗健康集团衢州医院(浙江衢化医院)骨科,浙江衢州324004

出　　处：《临床骨科杂志》2025年第2期224-227,共4页Journal of Clinical Orthopaedics

摘　　要：目的比较带袢钢板与锁骨钩钢板内固定治疗创伤性肩锁关节脱位的疗效。方法根据治疗方法不同将57例创伤性肩锁关节脱位患者分为观察组(26例,采用带袢钢板内固定治疗)和对照组(31例,采用锁骨钩钢板内固定治疗)。比较两组手术情况、疼痛VAS评分、Constant-Murley评分,采用Karlsson分级标准评价疗效。结果患者均获得随访,时间6~12个月。术中出血量、切口长度观察组少(短)于对照组(P<0.01),手术时间两组比较差异无统计学意义(P>0.05)。疼痛VAS评分两组术后6个月均低于术前(P<0.05),术后6个月观察组低于对照组(P<0.01)。Constant-Murley评分两组术后6个月均高于术前(P<0.05),术后6个月观察组高于对照组(P<0.01)。术后6个月采用Karlsson分级标准评价疗效的优良率观察组高于对照组(P<0.05)。并发症发生率观察组低于对照组(P<0.05)。结论与锁骨钩钢板相比,带袢钢板内固定治疗创伤性肩锁关节脱位创伤小,出血量少,有利于肩关节功能的恢复,且并发症少。Objective To compare the effect of fixation with loop plate or clavicular hook plate on the traumatic acromioclavicular dislocation.Methods The 57 patients with traumatic acromioclavicular dislocation were divided into observation group(26 cases were treated with loop plate internal fixation)and control group(31 cases were treated with clavicular hook plate),according to different treatment methods.The operation status,pain VAS,Constant-Murley scores were compared between two groups,and the effect was assessed with Karlsson grading criterion.Results All patients were followed up for 6~12 months.The volume of intraoperative blood loss and incision length in the observation group were less(shorter)than those in the control group(P<0.01),and there was no statistical difference in operation time between the two groups(P>0.05).The pain VAS:At 6 months after surgery,the two groups were lower than those before surgery(P<0.05),and the observation group was lower than the control group(P<0.01).Constant-Murley scores:At 6 months after surgery,the data of two groups were higher than before surgery(P<0.05),and the observation group was higher than control group(P<0.01).Six months after operation,Karlsson grading standard was used to evaluate the excellent-good rate of curative effect,and the observation group was higher than the control group(P<0.05).The incidence of complications in observation group was lower than that in control group(P<0.05).Conclusions Compared with clavicular hook plate,internal fixation with loop plate is effective in the treatment of acromioclavicular dislocation,with less trauma,less bleeding,less pain,which is conducive to the recovery of shoulder joint function,and complications are fewer.

关 键 词：肩锁关节脱位 带袢钢板 锁骨钩钢板 喙锁韧带 

分 类 号：R684.7[医药卫生—骨科学] R687.32[医药卫生—外科学]