纽扣钢板内固定治疗肩锁关节脱位31例

The effect of endobutton in the treatment of acromioclavicular joint dislocation

目的：探讨纽扣钢板内固定治疗肩锁关节脱位疗效。方法：采用改良纽扣钢板内固定治疗RockwoodⅢ、Ⅳ、Ⅴ型肩锁关节脱位31例,根据Constant-Murley法评定肩关节功能。结果：31例患者均获随访,随访时间8~26个月,患肩关节在术前评分为（30.2±6.3）分,术后第1周、1、3、6个月评分分别为（86.3±6.3）分、（93.2±3.5）分、（95.2±3.1）分和（95.4±3.7）分,与术前评分差异均有统计学意义（P〈0.01）。结论：应用改良纽扣钢板技术治疗肩锁关节脱位效果良好,是治疗肩锁关节脱位较为理想的方法之一。

Objective：To investigate the effects of endobutton in the treatment of acromioclavicular joint dislocation. Methods：Thirtyone patients with Rockwood Ⅲ,Ⅳ and Ⅴ type cromioclavicular joint dislocation were treated with the modified button plate internal fixation. The shoulder joint function was evaluated according to Constant-Murley score. Results：All patients were followed up for 5 to26 months. The average Constant scores before operation,at 1 week,and 1,3 and 6 month after operation were（30. 2 ± 6. 3）,（86. 3 ±6. 3）,（93. 2 ± 3. 5）,（95. 2 ± 3. 1） and（95. 4 ± 3. 7）,respectively. The difference of Constant-Murley score between before and after operation was statistically significant（ P〈0. 01）. Conclusions： The effect of endobutton in the treatment of acromioclavicular joint dislocation is good,which is an ideal treatment for acromioclavicular joint dislocation.