带绊双纽扣钢板治疗肩锁关节全脱位

The treatment of complete acromioclavicular joint dislocations with double endobutton plate

目的：探讨带绊双纽扣钢板内固定治疗肩锁关节全脱位的临床疗效。方法采用带绊双纽扣钢板内固定治疗15例肩锁关节全脱位患者，参照Karlsson评价标准进行疗效评定。结果切口均一期愈合，无感染发生。15例均获随访，随访时间6-20个月。术后3个月按Karlsson标准评价：优12例，良3例。关节不稳定症状均消失，患者肩关节活动度较术前均明显改善，无再脱位或其他相关并发症发生。结论带绊纽扣钢板内固定安全可靠，可早期功能锻炼，无需二次手术取出，为治疗肩锁关节脱位提供了新的选择。

Objective To evaluate the clinical effects of double Endobutton plate for the treatment of complete acro-mioclavicular joint dislocation. Methods 15 patients with complete acromioclavicular joint dislocation were fixed with double Endobutton plate. The therapeutic effects were evaluated by Karlsson criteria. Results The wound of all patients was healed at primary stage with no infection. All the cases were followed up for 6-20 months. According to the Karlsson evaluation criteria, 12 patients obtained an excellent result, 3 cases were fair three months after surgery. The symptoms of joint instability disappeared, and the shoulder joint activity of all patients were improved significant-ly compared to the preoperative. There was no dislocation or other complications after the operation. Conclusions Double Endobutton plate is to be a new method for the treatment of acromioclavicular joint dislocation,which has the advantages of reliable fixation,early functional rehabilitation and prevents secondary surgery.