改良Weaver-Dunn术与关节镜下喙锁韧带重建术治疗肩锁关节脱位的临床研究

Clinical Study of Modified Weaver-Dunn Surgery and Arthroscopic Acroclavian Ligament Reconstruction in the Treatment of Acroclavian Joint Dislocation

目的:探讨改良Weaver-Dunn和关节镜下喙锁韧带重建术2种方法在肩锁关节脱位治疗中的临床价值。方法:选取2017年5月-2021年5月于我院骨科接受诊治的86例肩锁关节脱位患者作为研究对象。根据治疗方法分为对照组(接受改良Weaver-Dunn术,41例),观察组(接受关节镜下喙锁韧带重建术,45例),比较2组的手术效果。结果:随访12个月,2组患者的肩关节功能恢复(关节前屈上举度数和体侧外旋度数)差异无统计学意义(P>0.05);2组患者的肩关节VAS疼痛评分、UCLA评分和ASES评分比较差异无统计学意义(P>0.05);观察组术后12月手术复位丢失率为2.22%,对照组手术复位丢失率为14.63%,组间差异有统计学意义(P<0.05);其他并发症发生率比较差异无统计学意义(P>0.05);2组患者术后12个月的生活质量各指标评分组间差异均无统计学意义(P>0.05)。结论:改良Weaver-Dunn和关节镜下喙锁韧带重建术2种方法治疗肩锁关节脱位均能有效恢复患者的肩关节功能,但关节镜下手术的术后复位丢失率更低,临床应用前景更加广阔。

Objective:To explore the clinical value of modified Weaver-Dunn and arthroscopic beak lock ligament reconstruction in shoulder lock joint dislocation treatment.Methods:A total of 86 patients with shoulder lock dislocation treated in the orthopedics department of our hospital from May 2017 to May 2021 were selected as the study subjects.41 patients receiving modified Weaver-Dunn were treated as group A and another 45 with arthroscopic a clock ligament reconstruction as group B to compare surgical effects between the two groups.Results:After 12 months of follow-up,shoulder function(anterior flexion and lateral rotation)was not different in the two groups(P>0.05);There was no significant difference in the shoulder VAS pain scores,UCLA scores,and ASES scores between the two groups(P>0.05);The loss rate of surgical reduction in December after group B was 2.22%and 14.63%in group A,which was statistically significant(P<0.05);There was no significant difference in the incidence of other complications(P>0.05);There was no significant difference in quality of life in both groups(P>0.05).Conclusion:Improving Weaver-Dunn and arthroscopic ligament ligament reconstruction can effectively restore shoulder joint function in patients,but the postoperative reduction loss rate is lower and the clinical application prospect is broader.