两种不同锁骨钩钢板治疗肩锁关节脱位中的体会

Compareing the two different clavicular hook plate for acromioclavicular joint dislocation

目的 探讨aap锁骨钩钢板和linkwolter钢板治疗肩锁关节脱位中创伤、时间、疗效。方法 将48 例TossyIII型和部分TossyⅡ型肩锁关节脱位,随机分为aap组和wolter组,比较和分析两组切口长度、出血量、 手术时间、疗效、内固定拆除后再脱位。结果 aap组伤口长度(6.5±0.8)cm比wolter组(9.8±1.4)cm短,出血 量48.45ml±8.65ml较wolter组(80.14±14.05)ml少,手术时间22.33min±6.28min较wolter组39.32min± 6.64min短。按Karlsson标准评分,aap组优18例,良6例,差0例。Wolter组优15例,良8例,差1例。内固定拆 除后两组都无再脱位。结论 aap锁骨钩钢板和linkwolter钢板治疗肩锁关节脱位疗效相似,aap锁骨钩钢板相对 损伤较小、操作更简便快捷。

Objective To compare the effect of aap clavicular hook plate(CHP) for acromioclaviclar joint dislocation with Link Wolter plate.Methods Fourty-eight patients with Tossy III type or Tossy II type acromioclavicular joint dislocation were random divided into Group aap and Group wolter.We have evaluated incision length,haemorrhage,the duration of operation,outcome and re-dislocation after removel of implant.Results Incision length of Group aap(6.5cm±0.8cm) was shorter than Group wolter(9.8cm±1.4cm),Group aap haemorrhage volume(48.45ml±8.65ml) less than (80.14ml±14.05ml),Group aap duration (22.33min±6.28min) shorter than Group wolter(39.32min±6.64min).Of Group aap cases,18 patients were excellent,6 patients good,by Karlsson score.Of Group wolter,15 patients were excellert,8 patients good,one bad,by Karlsson score.Nore-dislocation occurred in both Group aap and Group wolter of implants.Conclusion aap CHP for acromioclavicular joint dislocation is good as Link Wolter plate.aap CHP has simple procedure and less injury to patients.