线缆套绕喙突与锁骨固定治疗肩锁关节脱位的临床观察

Clinical observation of treating acromioclavicular joint of fresh injury by clasping coracoid and clavicula with Atlas Ti-cable

目的观察线缆套绕喙突与锁骨固定治疗新鲜单侧TossyⅢ型肩锁关节脱位的临床效果。方法回顾分析2007年12月至2016年3月于我院采用切开复位、线缆套绕喙突与锁骨固定治疗新鲜单侧TossyⅢ型肩锁关节脱位的39例病人的临床资料,通过其术后X线片评价其恢复情况,采用Karlsson疗效评价标准对患肩功能进行评定。结果本组病人随访时间为6~60个月,平均为16个月。术后肩关节外观及功能恢复满意,未见线缆断裂和松动的现象。按照Karlsson疗效评价标准对肩关节功能进行评定,其中优30例,良9例,优良率为100%。结论线缆套绕固定喙突与锁骨符合肩锁关节复位固定的生物力学要求,具有疗效好、创伤小、操作简单的优点,是治疗TossyⅢ型肩锁关节脱位的一种有效手术方法。

Objective To observe the clinical effect of treating acromioclavicular joint of Tossy Ⅲ type dislocation fresh injury by clasping coracoid and clavicula with Atlas Ti?cable. Methods During Decem?ber 2007 to March 2016, 39 cases of acromioclavicular joint of Tossy Ⅲ type dislocation of fresh injury treatingby clasping coracoid and clavicular together with Atlas Ti?cable were retrospectively analyzed. The X?ray exami?nation after operation was done to evaluate the recovery condition, and the Karlsson curative effect evaluationstandard was used to evaluate the function of shoulder. Results All patients were followed up for an averageof 16 months (range 6 to 60 months). The appearance and function of patients’shoulders recovered well, andhad no cable breakage or loosened. Based on Karlsson standard for shoulder function, 30 cases obtainedexcellent effect, 9 cases good and no case poor. The excellent and good rate of shoulder function was 100%.Conclusion Treating acromioclavicular joint of Tossy Ⅲ type dislocation of fresh injury by clasping coracoid and clavicula with Atlas Ti?cable was in accord with biomechanical requirements. This method had its own advantages, such as less trauma, simpler operation, and better effectiveness, and in an effective method to treat acromioclavicular joint with Tossy Ⅲ type dislocation of fresh injury.