Endobutton带袢钢板治疗陈旧性Ⅲ型肩锁关节脱位疗效分析

Preliminary Effect of Endobutton for the Treatment of Obsolete type Ⅲ Acromioclavicular Joint Dislocation

目的:探讨陈旧性Ⅲ型肩锁关节脱位患者应用Endobutton带袢钢板治疗的临床效果。方法:选取陈旧性Ⅲ型肩锁关节脱位患者17例,在本研究中的治疗方法为双Endobutton带袢钢板固定疗法,通过此种方法对17例患者进行治疗,并观察临床疗效。结果:通过对以上患者治疗后的6-12个月的随访中,患者术后Constant评分平均为(91.02±5.20)分,X线显示肩关节部位无脱位(P<0.05)。结论:在治疗陈旧型Ⅲ型肩锁关节脱位方面,Endobutton钢板对患处进行固定的技术疗效显著,但长期疗效需要扩大样本量进一步研究。

Objective： To investigate the effects of double Endobutton in treating obsolete type Ⅲ acromioclavicular joint dislocation. Methods： A total of 17 patients with obsolete type Ⅲ acromioclavicular joint dislocation were selected in this study. They were immobilized with double Endobutton. X-my and Constant-Murley scores were used to provide a final evaluation of shoulder function. Results： During the follow-up for a range of 6-12 months, the patients had an average Constant-Murley score of 91.02 ±5.20 points. No patient had acremioclavicular joint redisloeation during this period according to X-ray. Conclusion： For treatment of obsolete type Ⅲ acromioclavicular joint dislocation, Double Endobutton is an effective approach in short term, but its long-term effects still need further study with large samples.