3种内固定加喙锁韧带重建Ⅲ°肩锁关节脱位的效果比较

Internal fixation combined with reconstruction of coracoclavicular ligaments for Ⅲ°coracoclavicular dislocation

目的:评价3种内固定对Ⅲ°肩锁关节脱位的治疗效果。方法:83例均为Allman分类法中的Ⅲ°肩锁关节脱位。患者分别应用单枚克氏针内固定加韧带重建治疗13例(A组)、克氏针张力带钢丝内固定加韧带重建治疗34例(B组)、钢板固定加韧带重建治疗36例(C组)。结果:经8～18个月的随访,按Karlsson疗效评价标准,3组的优良率分别为:A组69.23%、B组91.18%、C组94.44%。结论:内固定加韧带重建是治疗Ⅲ°肩锁关节脱位的有效方法,3种方法中以Crook钢板与克氏针钢丝张力带疗效较好,治疗的重点是喙锁韧带的修复和重建。

Objective: To evaluate the therapeutic efficacy of interal fixation combined with reconstruction of coracoclavicular ligaments to treat Ⅲ°coracoclavicular dislocation. Methods: 83 cases of Ⅲ°coracoclavi- cular dislocation classified by Allman were grouped according to their treatment using internal fixation. 13 cases were treated with Kirschnre's Pin(group A ), 34 cases with Kirschnre's Pin and tension band wiring(group B ) and 36 cases with Crook plate(group C). Results : All of the cases were followed up for 8 to 18 months .According to Karlsson standard, the rate of excellence was 69.23%, 91.18% and 94.44% for groupA, group B and group C. Conclusions: Internal fixation combined with reconstruction of coracoclavicular ligaments for treatment of Ⅲ°coracoclavicular dislocation is an efficient method. In the three groups, the therapy of group B and group C are much better than group A. The key point of treatment is to pay attention to the reconstruction of coracoclavicular ligaments.