TightRope钛板治疗Rockwood Ⅲ型肩锁关节脱位

TightRope titanium plate fixation for the treatment of Rochwood Ⅲ acromioclavicular joint dislocation

目的探讨TightRope钛板治疗RockwoodⅢ型肩锁关节脱位的临床效果。方法对17例RockwoodⅢ型肩锁关节脱位患者采用TightRope钛板治疗,参照肩关节Karlsson和Constant-Murley评定标准进行疗效评估。结果患者均获得随访,时间6~12个月。术后6个月根据Karlsson评定标准评价:优良11例,满意6例;Constant-Murley肩关节功能评分总分由术前(44.65±6.63)分提高至(89.52±3.87)分,其他各项评分均优于术前,差异均有统计学意义(P<0.01)。结论 TightRope钛板治疗RockwoodⅢ型肩锁关节脱位具有创伤小、切口美观、患者功能恢复良好的优点。

Objective To investigate the clinical efficacy of TightRope titanium plate fixation for the treatment of Rockwood Ⅲ acromioclavicular joint dislocation.Methods Seventeen patients diagnosed as Rochwood Ⅲ acromioclavicular joint dislocation were treated by using closed reduction and TightRope titanium plate fixation.Clinical efficacy of shoulder joint function was evaluated by the criteria of Karlsson and Constant-Murley.Results All the patients were successfully completed the surgery and follow-up.The average follow-up time ranged from 6 months to 12 months.The clinical efficacy evaluated by Karlsson criteria was excellent or good in 11 patients and satisfied in 6 patients at 6 months after surgery.Total scores of shoulder function assessed by using Constant-Murley criteria was improved at 6 months after surgery,compared with preoperative value,each evaluation score was significantly rised from 44.65±6.63 preoperatively to 89.52±3.87,all other evaluation scores were improved postoperatively when compared with preoperative scores,which also showed statistically significant differences （P〈0.01）.Conclusions Closed reduction and TightRope titanium plate fixation are less trauma,cosmetic incision and favorable functional recovery in treating Rochwood Ⅲ acromioclavicular joint dislocation.