锁骨钩钢板配合带线锚钉治疗TossyⅢ型肩锁关节脱位

Surgical treatment of acromioclavicular dislocation(Tossy Ⅲ) with clavicular hook plate and anchors

目的比较单纯锁骨钩钢板与锁骨钩钢板配合带线锚钉治疗TossyⅢ型肩锁关节脱位的临床疗效。方法应用锁骨钩钢板内固定治疗肩锁关节脱位30例（A组）,应用锁骨钩钢板配合带线锚钉修复喙锁韧带治疗肩锁关节脱位25例（B组）。B组术后3个月取出锁骨钩钢板,带线锚钉不取出。采用Lazzcano标准评定患肩功能。结果两组患者均获得6个月以上随访。术后1~3个月,两组均未发生内固定松动、脱钩、肩锁关节再脱位。术后1、3、6个月,A、B两组肩关节功能评分差异无统计学意义。结论锁骨钩钢板配合带线锚钉治疗TossyⅢ型肩锁关节脱位疗效与单纯应用锁骨钩钢板无明显差异,说明肩锁关节的解剖结构重建有效。

Objective To analyze the clinical result of clavicular hook plate versus clavicular hook plate in coordination with SmithNephew TwinFix suture anchors in the treatment of Tossy typesⅢ acromioclavicular joint dislocation.Methods Two surgical techniques were employed： clavicular hook plate（in group A of 30 cases） and clavicular hook plate with TwinFix suture anchors（in group B of 25 cases）.The clavicular hook plates（Group B） were taken out at 3th months.Results All cases had been followed up for more than 6 months.According to Lazzcano criteria,there is no significant difference between group A and group B at 1th,3th and 6th month after operation.Conclusions Applying clavicular hook plate with TwinFix suture anchors is a better method to rebuild the anatomic structure in the treatment of acromioclavicular joint dislocation（Tossy Ⅲ）.