双Endobutton治疗Tossy Ⅲ型肩锁关节脱位修补及不修补肩锁韧带的对照研究

A Comparative Study on the Treatment of Endobutton Type III Dislocation of the Shoulder Joint With Double Tossy in the Treatment of the Dislocation of the Shoulder Joint and the Repair of the Non Repair of the Rotator

目的探讨治疗TossyⅢ型肩锁关节脱位带袢钢板重建喙锁韧带后修补及不修补肩锁韧带的术后差异。方法 2013年1月～2015年10月,共收治27例TossyⅢ型肩锁关节脱位,其中19例使用Endobutton带袢钢板重建喙锁韧带治疗。19例中A组：8例未修补肩锁韧带,B组：11例修补肩锁韧带。对术后X片和治疗6月后的X片比较及术后6月肩关节功能比较。结果 19例均术后随访6～9月,平均（8.25±1.06）月,比较术后与术后6个月X片示：未修补肩锁韧带组比修补肩锁韧带组肩锁关节间隙增大。按Karlsson标准评定术后6月肩关节功能;A组：优3例,良5例;B组：优9例,良2例。修补肩锁韧带组明显优于未修补肩锁韧带组。结论 TossyⅢ型肩锁关节脱位修补肩锁韧带明显优于不修补肩锁韧带。

Objective To explore the difference between the treatment of Tossy type III acromioclavicular joint dislocation with plate coracoclavicular ligament reconstruction after repair and repair of acromioclavicular ligament after operation. Methods From January 2013 to October 2015, a total of 27 cases of Tossy type III acromioclavicular joint dislocation, 19 cases with the use of Endobutton plate coracoclavicular ligament reconstruction treatment. 19 cases of A group： 8 cases of non repair of the rotator of the shoulder, B group： 11 cases of repair of the rotator. Comparison of X tablets and X after June and comparison of shoulder function after 6. Results All the 19 cases were followed up for 6 to 9 months, average（8.25±1.06） months, compared with 6 months after the operation, the X patch showed that the gap between the two groups was increased in the group of the patients without the repair of the group of the ratio of the group of the. According to Karlsson standard evaluation of postoperative shoulder function in June; A group： excellent 3, good 5; B group： excellent 9, good 2. The repair of the rotator group was significantly better than that of the repair group. Conclusion Tossy type III dislocation of the shoulder joint dislocation of the repair of the repair of the shoulder lock ligament is superior to the repair of the.