带袢钢板用于肩锁关节完全性脱位患者治疗中的临床效果

Clinical Effect of Loop Plate in the Treatment of Complete Dislocation of Acromioclavicular Joint

目的本文主要探析肩锁关节完全性脱位患者之中应用带袢钢板进行治疗所取得的临床效果,了解带袢钢板应用患者的应用价值。方法将2015年1月—2017年1月在我院进行治疗、治疗的肩锁关节完全性脱位患者(53例)进行研究,患者进行了手术治疗,使用X线片进行带袢钢板距离锁骨远端距离、锁骨袢钢板中点至锁骨远端长度术后半年复位的丢失量,应用CONSTANT肩关节进行评分了解功能状况。结果 53例患者接受了带袢钢板治疗获得良好复位,术后3天、6个月及平均丢失喙锁距离分别为(28.39±4.13)mm、(29.72±4.19)mm、(1.31±1.13)mm。锁骨袢钢板固定点、锁骨外援相对距离为(0.22±0.03)mm,CONSTANT的肩关节评分在术前和术后分别(30.67±6.19)分、(91.05±5.20)分,将术前和术后的数据进行对比分析,差异有统计学意义(P<0.05)。结论对肩锁关节完全性脱位患者采用带袢钢板进行治疗,患者的治疗效果较为满意,能够减少术后复位丢失。

Objective This paper mainly discusses the clinical effect of the treatment of acromioclavicular joint complete dislocation with loop steel plate, to understand the application value of patients with loop steel plate. Methods From January 2015 to January 2017, 53 patients with complete acromioclavicular dislocation treated in our hospital were enrolled, they were treated with surgery, radiographs were used to determine the distance from the distal clavicle to the distal clavicle and the length of the distal clavicle from the midpoint of the clavicle loop to the distal clavicle,CONSTANT shoulder score was used to understand functional status. Results 53 patients received a good reduction with loop plate treatment, 3 days, 6 months after surgery and the average loss of beak lock distance was （28.39±4.13） ram, （29.72±4.19） mm, （1.31±1.13） mm. The relative distance between clavicle fixation point and clavicle was （0.22±0.03） mm, The shoulder score of CONSTANT was （30.67±6.19） and （91.05±5.20） points before and after operation respectively, the preoperative and postoperative data were compared and analyzed, the difference was statistically significant （P 〈 0.05）. Conclusion Patients with complete dislocation of acromioclavicular joint treated with loop steel plate, the treatment effect is satisfactory, can reduce postoperative loss of reduction.