线缆系统内固定治疗肩锁关节脱位

Internal fixation of cable system for treatment of dislocation of acromioclavicular joint

目的分析线缆系统内固定治疗肩锁关节脱位的疗效。方法回顾我院2014年8月—2017年12月收治的42例肩锁关节脱位患者,均采用线缆系统(Synthes公司生产的带锁扣钛缆)内固定治疗,术后门诊随访。结果术后所有患者切口均Ⅰ期愈合,随访6个月～20个月,平均16.8个月,按照Herscovici标准对肩关节功能进行评定:优36例,良6例。X线片显示全部愈合,1例肩锁关节脱位术后11个月复查X线片提示钛缆断裂,但肩关节功能无异常。结论线缆系统内固定治疗肩锁关节脱位有利于关节早期功能锻炼,防止关节僵硬,创伤小、效果好,值得临床推广。

Objective To analyze cable system the curative effect of internal fixation for the acromioclavicular joint dislocation.Methods from 2014.08 to 2017.12 using cable system(Synthes company production with lock titanium cable)internal fixation in the treatment of 42 cases of the acromioclavicular joint dislocation.Results all patients postoperative incision without significant inflammation.In 42 cases were followed up for 6~20 months,an average of 16.8 months.At the time of the last follow-up of shoulder joint function were assessed in accordance with the Karlsson standards:36 cases.A good 6 cases.X-ray shows all healing,1 case of acromioclavicular joint dislocation 11 months after review of the X ray film prompt titanium cable faults,but the shoulder joint function without exception.Conclusions cable system internal fixation for the acromioclavicular joint dislocation is beneficial to early functional exercise,prevent joint stiffness and secondary traumatic sex arthritis,small trauma,short time,good effect,worth clinical promotion.