肩关节镜下喙锁韧带重建术与切开改良Weaver-Dunn手术治疗肩锁关节脱位的疗效比较

Coracoclavicular Arthroscopic Ligament Reconstruction Compared with Incision Modified Weaver-Dunn Surgery for Acromioclavicular Dislocation Effect

目的比较肩关节镜下喙锁韧带重建术与切开改良Weaver-Dunn手术治疗肩锁关节脱位的效果。方法选取肩锁关节脱位患者93例,根据患者手术方法不同分为A组(行肩关节镜下喙锁韧带重建术)、B组(行切开改良Weaver-Dunn手术)。结果两组患者术后12个月肩关节前屈上举角度、体侧外旋角度及加州大学洛杉矶分校评分、美国肩肘外科医师评分比较,差异均无统计学意义(P>0.05)。A组患者肩关节复位丢失率(1.92%)低于B组(14.63%),差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论肩关节镜下喙锁韧带重建术与切开改良Weaver-Dunn手术治疗肩锁关节脱位,均可获得显著疗效,但关节镜下喙锁韧带重建术可降低患者术后肩关节复位丢失率,减轻对患者的创伤。

Objective To investigate the effect of differences coracoclavicular arthroscopic ligament reconstruction and incision modified Weaver- Dunn surgery in acromioclavicular joint dislocation. Methods Select 93 cases in our hospital,according to surgery method,the patients divided into group A（ coracoclavicular arthroscopic ligament reconstruction） and Group B（ modified Weaver- Dunn cut surgery）. Results The postoperative flexion held on June shoulder,side external rotation angle and UCLA,ASES scores,incidence of complications were not significantly different（ P〉0. 05）. The shoulder reset loss rate（ 1. 92%） of A group patients was lower than that in group B（ 14. 63%）,the difference was statistically significant（ P〈0. 05）. Comparing the incidence of complications of the two group the difference was not statistically significant（ P〉0. 05）. Conclusion Coracoclavicular arthroscopic ligament reconstruction with the modified Weaver- Dunn incision surgery for acromioclavicular joint dislocation could obtain a significant effect,but coracoclavicular arthroscopic ligament reconstruction surgery could reduce postoperative shoulder reset loss rate,and reduce patients＇ trauma.