带线铆钉与纽扣带袢钢板治疗肩锁关节脱位

Therapy of acromioclavicular joint dislocation with wire rivets and Endobuttons

目的比较带线铆钉与纽扣带袢钢板2种方法治疗肩锁关节脱位的临床疗效。方法采用Endobutton带袢钢板(15例)和带线铆钉经锁骨喙突治疗(19例)TossyⅢ型肩锁关节脱位34例。结果 34例获得随访10~18个月,平均12.2个月。纽扣带袢钢板组和带线铆钉组手术时间分别为(65.93±9.72)min、(43.79±7.44)min,纽扣带袢钢板组较带线铆钉组手术时间明显长,差异有统计学意义(P<0.05),术中出血量分别为(63.62±11.01)ml、(57.85±9.53)ml,差异无统计学意义(P>0.05)。按Karlson标准评价,纽扣带袢钢板组:优12例,良2例,差1例;带线铆钉组:优16例,良1例,差2例,2组疗效比较,差异无统计学意义(P>0.05)。结论 2种方法治疗肩锁关节脱位均固定效果好、术后并发症少、可早期功能锻炼、肩关节功能恢复好无需二次手术。

Objective To compare the therapeutic effects between wire rivets and Endobuttons in treating acromioclavicular dislocation. Methods Thirty four patients with Tossy Ⅲ acromioclavicular dislocation were treated with Endobutton system(15 cases) and wire rivets(19 cases). Results All cases were followed up for 10 to 18 months,with an average of 12.2months. The operation duration of wire rivets group and Endobuttons group was(65.93±9.72)min,(43.79±7.44)min, there was statistal difference of operation duration between the two groups(P <0.05). The intraoperative blood loss was(63.62±11.01)ml,(57.85±9.53)ml, there was no statistal difference of intraoperative blood loss between the two groups(P >0.05). According to Karlsson therapeutic effects criteria, 12 cases were graded as excellent, 2 cases as good and 1 case as bad in wire rivets group, while in Endobutton group, 16 cases were graded as excellent, 1 case as good and 2 cases as bad, there was no statistal difference of therapeutic effects between the two groups(P >0.05). Conclusion The two methods have good fixed effect,fewer complications, and early functional exercise, good shoulder function recovery, needless second surgery.