两种手术方法在肩锁关节脱位治疗中的临床疗效分析

Analysis of therapeutic effects of two kinds of operative procedures for acromioclavicular joint dislocation

目的探讨AO钛缆固定系统和锁骨钩钢板在手术治疗肩锁关节脱位的临床疗效。方法对30例单纯肩锁关节脱位患者,行AO钛缆固定系统(15例)和锁骨钩钢板(15例)行内固定治疗,从切口大小、手术时间、术中出血量、术后肩关节功能评分方面对两种内固定术后疗效进行比较。术后肩关节功能采取Constant评分系统评价。结果 AO钛缆固定系统组和锁骨钩钢板组在切口大小、手术时间、术中出血量方面相似,在统计学上无显著性差异(>0.05),在术后肩关节恢复方面,AO钛缆固定系统组明显优于锁骨钩钢板组,在统计学上有显著性差异(<0.05)。结论 AO钛缆固定系统修复肩锁关节脱位较锁骨钩钢板内固定更符合韧带的解剖生理重建,是目前临床手术治疗肩锁关节脱位的较好方法。

Objective To evaluate the clinical efficacy of AO titanium cable fixation system and clavicular hook plate in the surgical treatment of acromioclavicular joint dislocation. Methods There were 30 patients with simple acromiocla- vicular joint dislocation, 15 cases underwent AO titanium cable fixation system and other 15 cases used clavicular hook plate. Incision size, operative time, bleeding volume, shoulder function ratings postoperative from two kinds of internal fixation were compared. Shoulder function postoperative was evaluated by Constant scoring system. Results AO titanium cable fixation system and clavicular hook plate group were similar among incision size, surgery time and bleeding volume, which was no statistical significant difference （P〉0.05）. On recovery of shoulder joint function postoperative, AO titanium cable fixation system group was better than the clavicular hook plate group, and there was a significant statistical difference （P〈0.05）. Conclusion AO titanium cable fixation system was more in line with the anatomy and physiology ofthe reconstructed ligament in repairing acromioclavicular joint dislocation than clavicular hook plate group, which was the preferred clinical surgery method for acromioclavicular joint dislocation.