摘要
目的比较Tightrope钢板与锁骨钧铜板治疗肩锁关节脱位的,临床疗效。方法RockwoodⅢ型以上肩锁关节脱位患者42例,根据内固定情况分为Tightrmpe铜板纽(17例)和锁骨钩钢板组(25例),比较两组疗效。结果2组获得6-24个月的随访,按Karlsson肩关节功能判断标准评定肩关节功能优良率,Tightrope钢板组优于锁骨钧钢板组,差异有统计学意义(P〈0.05)。结论Tightrope钢板重建喙锁韧带治疗Rockwood Ⅲ型以上肩锁关节脱位是一种非刚性的治疗方法,操作简单、复位满意、恢复快,能更好地改善肩关节早期疼痛和活动度。
Objective To explore the effect of coracoclavicular joint dislocation treated with Tightrope plate and clavicular hook plate. Methods There were 42 patients with Rockwood type Ⅲ or severe acromioclaviclar joint dislocations were treated.All of them were divided into 2 groups according to treatment with Tightrope plate group ( 17 cases ) or clavicular hook plate group ( 25 cases ) . Results All patients were followed up 6-24 months.According to the Karlsson score criteria, the excellent and good rates of Tightrope plate group were excellent to clavicular hook plate group, the difference was statistically significant ( P〈0.05 ) . Conclusions Reconstruction of coracoclavicular ligament by Tightrope plate is effective in treating Rockwood Ⅲ-V type acromioclavicular joint dislocation.It is micro-injury, and can provide early functional recovery.The Tightrope plate group have a greater ROM and less shoulder pain at the early post-suegery stage.
出处
《浙江临床医学》
2016年第9期1665-1667,共3页
Zhejiang Clinical Medical Journal
关键词
肩锁关节脱位
锁骨钩钢板
喙锁韧带
Tightrope钢板
Acromioclavicularjoint dislocation Clavicular hook plate Coracoclavicular ligamen Tightrope plate