摘要
[目的]探讨克氏针与镜下双Endobutton钢板治疗急性肩锁关节脱位的临床效果。[方法]选择徐州医科大学附属连云港医院2012年6月~2016年12月收治的42例RockwoodⅢ~V型急性肩锁关节脱位患者。其中22例为肩关节镜下克氏针辅助双Endobutton钢板手术治疗,设为辅助组;另20例为肩关节镜下单独使用双Endobutton钢板手术治疗,设为单独组。术后1、3、6、9、12周,6、12个月定期门诊随访指导功能锻炼,此后每年随访一次。统计随访末期的疼痛评分(VAS评分)、Constant-Murley评分以及ASES评分、喙锁距离及肩锁距离。[结果]42例患者均获得随访,随访时间平均16.4个月(3~36个月)。辅助组手术时长较单独组长,但辅助组患者术后恢复工作时间较单独组短,Constant-Murley评分、ASES评分较单独组高,且辅助组患者的喙锁距离及肩锁距离较单独组短(P<0.05)。[结论]肩关节镜下克氏针结合双Endobutton钢板治疗急性肩锁关节脱位疗效较单独双Endobutton钢板治疗效果满意。
[Objective] To investigate the clinical olltcomes of Kirschner wire and double Endobutton plates by arthros- copy in the treatment of acute aeromioelavieular joint dislocation. [Method] From June 2012 to Deeember 2016, 42 patients with Rockwood ]]I-V acute acromioclavieular dislocation were enrolled in the Affiliated Lianyungang Hospital of Xuzhou Medi- cal University. Of them, 22 patients who underwent arthroseopic treatment with Kirschner wire and double Endobutton plates were termed as group A. while the other 20 patients who underwent arthroseopie trcatment with double Endobutton plates named group B. Patients did functional exercises under doctors＇ guidance ＂after operation （1, 3, 6, 9, 12 weeks and 6, 12 months after operation）, and then were follew-up every year.The patient＇s follow-up final pain score （VAS score）, the Constant-Murley score, the ASES score, the eoracoelavicular distance, and the acromioclavicular distance were count- ed. [ Results ] All 42 patients were followed up for an average of 16.4 months （3 to 36 months） .The duration of operation in group A was longer than that in group B, but the recovery time of gronp A was shorter than that of group B. The Constant-Mur- ley score and ASES score in group A were higher than those in group B. The coraeoelavicular distance and the aeromioclavicu- lar distance in group A were shorter than those in group B （P〈0.05） . [Conclusionl The treatment of acute acromioelavicu- lar joint dislocation with Kir^chner wire and double Endobutton plates by arthroscopy is more satisfactory than that of double En- dobutton plates.
作者
李小飞
谢文瑾
盛路新
郭开今
Ll Xiao-Jei XIE Wen-fin SHENG Lu-xin et al(Department of Orthopedics, the Af~liated Lianyungang Hospi- tal of Xazhou Medical University, Lianyungang 222002, jiangsu, Chin)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2017年第16期1463-1468,共6页
Orthopedic Journal of China
