Friction stir welding of dissimilar Al/Mg thick plates still faces severe challenges, such as poor formability, formation of thick intermetallic compounds, and low joint strength. In this work, two joint configuration...Friction stir welding of dissimilar Al/Mg thick plates still faces severe challenges, such as poor formability, formation of thick intermetallic compounds, and low joint strength. In this work, two joint configurations, namely inclined butt(conventional butt) and serrated interlocking(innovative butt), are proposed for improving weld formation and joint quality. The results show that a continuous and straight intermetallic compound layer appears at the Mg side interface in conventional butt joint, and the maximum average thickness reaches about 60.1 μm.Additionally, the Mg side interface also partially melts, forming a eutectic structure composed of Mg solid solution and Al_(12)Mg_(17) phase.For the innovative butt joint, the Mg side interface presents the curved interlocking feature, and intermetallic compounds can be reduced to less than 10 μm. The joint strength of innovative butt joint is more than three times that of conventional butt joint. This is due to the interlocking effect and thin intermetallic compounds in the innovative joint.展开更多
The construction of grouting butt joints of bamboo tubes is simple and efficient.However,when the joint is bent,the low tensile strength of the mortar easily leads to cracking of the mortar prior to the failure of the...The construction of grouting butt joints of bamboo tubes is simple and efficient.However,when the joint is bent,the low tensile strength of the mortar easily leads to cracking of the mortar prior to the failure of the bamboo tube.In this paper,a comparative test of the bending capacity was performed on grouting butt joints reinforced by nonperforated,fully perforated,and semiperforated steel plates embedded in bamboo tubes to obtain the loaddisplacement curves and ultimate bearing capacity of various specimens.The strengthening effect of CFRP pasted on bamboo tubes was also studied.The results show that the opening at the end of the steel plate is beneficial to resist the slip between the mortar and steel plate,while the complete section in the middle of the steel plate is conducive to making full use of the tensile strength of the steel plate.Therefore,it is best to insert the semiperforated steel plate with openings in the end and without openings in the middle into the mortar to enhance the bending properties of the grouting butt joint,which can make the failure mode of the joint change from brittle failure of mortar to ductile compression failure of bamboo tube.In addition,pasting CFRP sheets on the external wall of the bamboo tube helps to reduce the tensile stress of the mortar,while increasing the width of the steel plate can increase the bending moment of inertia of the mixture of the steel plate and mortar.These two complementary measures are very effective in delaying the cracking of the bamboo tube and improving the bending capacity of the joint.展开更多
It is common practice in the offshore industry to solve the punching shear problem due to compression by using doubler plate. The finite-element method is a useful tool for studying this problem. The aim of this paper...It is common practice in the offshore industry to solve the punching shear problem due to compression by using doubler plate. The finite-element method is a useful tool for studying this problem. The aim of this paper is to study the static strength of doubler plate reinforced Y-joints subjected to compression loading. The finite-element method is adopted in numerical parametric studies. The individual influences of the geometric parameters βand τd (doubler plate to chord wall thickness ratio) and ld/d1(dubler plate length to brace diameter ratio) on the ultimate strength are made clear. The results show the size of plate may have important effects on the strength of reinforced joints. It is found that the ultimate strength of Y-joints reinforced with appropriately proportioned doubler plates can be greatly improved nearly up tothree times to un-reinforced Y-joints.展开更多
Some parts with capillary to plate joint have important application in aerocrafi. Vacuum electron beam brazing (VEBB) technology is used to realize this jointing with capillaries. Firstly 3D finite element analysis ...Some parts with capillary to plate joint have important application in aerocrafi. Vacuum electron beam brazing (VEBB) technology is used to realize this jointing with capillaries. Firstly 3D finite element analysis model is built in this paper according to this special structure. And then ANSYS finite element analysis software is used to analyze brazing temperature field at different brazing parameters. The calculation results show that the temperature field of simulation has good agreement with that measured by experiment, which proves dependence of the model built in this paper. And also reference parameters could be provided for real brazing process through calculation in this model. Brazed joint of capiUary to plate with good performance is achieved using VEBB technology. The achievement of the study will be applied in aerocrafi in the future.展开更多
Duplex stainless steel clad plate exhibits good performance and is relatively inexpensive,however,some difficulties must be overcome when welding different materials. In this study,submerged arc welding( SAW) was us...Duplex stainless steel clad plate exhibits good performance and is relatively inexpensive,however,some difficulties must be overcome when welding different materials. In this study,submerged arc welding( SAW) was used to weld Baosteel ship clad plates( 2205 + DH36),and the performance of the welded joints was tested. The results indicate that the mechanical properties and the corrosion resistance of the welded joints meet the required specifications. The distribution of the main anti-corrosive elements and the phase ratio of the welded joint are analyzed,thereby indicating excellent uniformity and confirming that the welded joint is corrosion resistant.展开更多
Purpose: Acromioclavicular (AC) joint dislocation is commonly treated using a clavicle hook plate (HP). However, previous reports have indicated that acromial fractures may occur after HP fixation. The purpose of this...Purpose: Acromioclavicular (AC) joint dislocation is commonly treated using a clavicle hook plate (HP). However, previous reports have indicated that acromial fractures may occur after HP fixation. The purpose of this study was to identify risk factors for acromial fractures. Methods: A retrospective study was conducted on 39 patients with AC joint dislocation who were treated using clavicle HP fixation in our hospital between 2006 and 2017. Related parameters, including Rockwood classification, hook angle, the degree of reduction, the coverage of the hook under the acromion, and the anteroposterior position of the hook under the acromion, were evaluated to identify risk factors for acromial fractures. Results: The mean age of the participants was 51.7 (range 19 - 81) years;34 were men and 5 were women. Injury occurred on the right side in 18 patients and on the left side in 21. Injuries were categorized as follows: 24 were Rockwood type III, one was type IV, and 14 were type V. Four of the 39 patients (10%) experienced acromial fractures. Statistical analyses indicated that the degree of reduction at the final follow-up was moderately correlated with the Constant score. Posterior positioning of the hook was the only identified risk factor for acromial fractures. Hook angle and the degree of reduction at the time of surgery were not significantly associated with acromial fractures. Conclusions: Postoperative shoulder function was associated with the degree of reduction at the final follow-up, suggesting that anatomical reduction is recommended for AC joint dislocation. Posterior positioning of the hook is a risk factor for acromial fractures;however, clavicle HP fixation provides a positive outcome for AC joint dislocation. Therefore, careful positioning of the hook is required for preventing acromial fractures.展开更多
The static test of 13 square hollow section(SHS) X-joints with different β and different types of plate reinforcement under in-plane moment in brace was carried out. Experimental test schemes, failure modes of specim...The static test of 13 square hollow section(SHS) X-joints with different β and different types of plate reinforcement under in-plane moment in brace was carried out. Experimental test schemes, failure modes of specimens, moment-vertical displacement curves, moment-deformation of the chord, and strain strength distribution curves were presented. The effect of β and plate reinforcement types on in-plane flexural property of SHS X-joints was studied. Results show that punching shear of chord face disappears, brace material fracture appears and concave and convex deformation of chord decrease when either collar plates or doubler plates were welded on chord face. Moment-vertical displacement curves of all specimens have obvious elastic, elastic-plastic and plastic stages. As β increases, the in-plane flexural ultimate capacity and initial stiffness of joints of the same plate reinforcement type increase, but ductility of joints decreases. With the same β, the in-plane flexural initial stiffness and ultimate capacity of doubler plate reinforced joints, collar plate reinforced joints, and unreinforced joints decrease progressively. Thickness of reinforcement plate has no obvious effect on in-plane flexural initial stiffness and ultimate capacity of joints. As thickness of reinforcement plate increases, the ductility of reinforced X-joints decreases. The concave and convex deformation of every specimen has good symmetry;as β increases, the yield and ultimate deformation of chord decrease.展开更多
This paper studies the effects of fiber orientaion and holes position on stress concentration and the determination of weakened areas in the composite of glass fiber reinforced epoxy resin around the hole for joints b...This paper studies the effects of fiber orientaion and holes position on stress concentration and the determination of weakened areas in the composite of glass fiber reinforced epoxy resin around the hole for joints by using the finite element method.In this study,for the observation of areas affected by stress concentration Tsai-Wu failure criterion is used to determine the failed elements and ANSYS Software is implemented for modeling.In order to compare the effect of geometric parameters on stress concentration around the holes,two types of hole position arrangement along with fibers orientation have been studied.Results show that the stress concentration coefficient is lower in the second type of holes arrangement in comparison with the first type for the same component dimensions.Increasing the distance from hole center to upper or lower edge of the sample and also decreasing the distance between holes,would result in an increase in the stress concentration.展开更多
Objective:To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods:80 patients with TOSSY...Objective:To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods:80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected.They were randomly divided into the control group(n=39,treated with clavicular hook plate)and the observation group(n=41,treated with clavicular hook plate combined with coracoclavicular ligament repair)by the random number table method.The clinical efficacy in 12 months after operation,related clinical indicators,12-month postoperative recovery and postoperative complications were compared between the two groups.Results:The excellent and good rate was 92.68%(38/41)in 12 months after operation in the observation group,which was higher than that(76.92%,30/39)in the control group(p<.05).There were no significant differences in the duration of surgery,intraoperative blood loss and HLOS between the observation group and the control group(p>.05).In 12 months after operation,abduction activity and forward flexion activity of the observation group were higher than those of the control group,and visual analogue score(VAS)was lower than that of the control group(p<.05).The incidence of complications in the observation group was slightly lower than that in the control group,but there was no statistically significant difference between the two groups(p>.05).Conclusions:For TOSSY type III acromioclavicular joint dislocation,clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy.It can improve shoulder joint function,alleviate shoulder pain and have fewer complications.It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.展开更多
BACKGROUND Fusion of the first metatarsophalangeal(MTP1)joint is a common surgery performed to correct hallux rigidus,hallux rigidus et valgus and other painful degenerative diseases of the MTP1.AIM To assess outcomes...BACKGROUND Fusion of the first metatarsophalangeal(MTP1)joint is a common surgery performed to correct hallux rigidus,hallux rigidus et valgus and other painful degenerative diseases of the MTP1.AIM To assess outcomes of our surgical technique including non-union rates,accuracy and aims of correction.METHODS Between September 2011 and November 2020 a total 72 of MTP1 fusions were performed using a low profile,pre-contoured dorsal locking plate and a plantar compression screw.Union and revision rates were analyzed with a minimum clinical and radiological follow up of at least 3 mo(range 3-18 mo).The following parameters were evaluated on pre-and postoperative conventional radiographs:Intermetatarsal angle,Hallux-valgus angle,dorsal extension of the proximal phalanx(P1)in relation to the floor and the angle between the Metatarsal 1 and the P1(MT1-P1 angle).Descriptive statistical analysis was performed.Pearson analysis was used to assess for correlations between radiographic parameters and achievement of fusion.RESULTS An overall union rate of 98.6%(71/72)was achieved.Two out of 72 patients did not primarily fuse with one patient suffering from a non-union,whilst the other demonstrating a radiological delayed union without clinical symptoms,with eventually complete fusion after 18 mo.There was no correlation between the measured radiographic parameters and the achievement of fusion.We believe the reason for the non-union was mainly attributed to the patient’s incompliance without wearing the therapeutic shoe leading to a fracture of the P1.Furthermore,we didn`t find any correlation between fusion and the degree of correction.CONCLUSION With our surgical technique,high union rates(98%)can be achieved using a compression screw and a dorsal variable-angle locking plate to treat degenerative diseases of the MTP1.展开更多
目的比较TightRope带襻钢板与Endobutton钢板在治疗肩锁关节脱位中的疗效。方法回顾性分析2021年3月~2023年2月常州市第二人民医院创伤中心94例肩锁关节脱位的临床资料,根据时间段分为2组,2021年3月~2022年2月采用Endobutton钢板治疗(E...目的比较TightRope带襻钢板与Endobutton钢板在治疗肩锁关节脱位中的疗效。方法回顾性分析2021年3月~2023年2月常州市第二人民医院创伤中心94例肩锁关节脱位的临床资料,根据时间段分为2组,2021年3月~2022年2月采用Endobutton钢板治疗(E组,n=47),2022年3月~2023年2月采用TightRope带襻钢板治疗(T组,n=47),末次随访比较2组围术期指标、疼痛视觉模拟评分(Visual Analogue Scale,VAS)、Constant-Murley肩关节功能评分及手术并发症发生率。结果T组手术时间、术中出血量、切口长度及术后7 d VAS评分明显短于/低于E组(P<0.05)。2组神经损伤、内固定移位、锁骨骨折、血管损伤及感染发生率无统计差异(χ~2=1.389,P=0.239)。2组术后9个月肩关节功能主客观评分与术前比较均得到明显改善(均P=0.000);术后9个月肩关节功能主客观评分2组比较差异无显著性(P>0.05)。结论TightRope带襻钢板和Endobutton钢板治疗肩锁关节脱位均效果显著,可有效改善患者肩关节功能。与Endobutton钢板比较,TightRope带襻钢板手术创伤更小,出血更少,明显减轻术后疼痛,更有利于患者早期功能锻炼。展开更多
基金supported by the National Natural Science Foundation of China (No.51874179,52005240 and 52164045)the Young Talent Program of Major Disciplines of Academic and Technical Leaders in Jiangxi Province (No.20212BCJ23028)。
文摘Friction stir welding of dissimilar Al/Mg thick plates still faces severe challenges, such as poor formability, formation of thick intermetallic compounds, and low joint strength. In this work, two joint configurations, namely inclined butt(conventional butt) and serrated interlocking(innovative butt), are proposed for improving weld formation and joint quality. The results show that a continuous and straight intermetallic compound layer appears at the Mg side interface in conventional butt joint, and the maximum average thickness reaches about 60.1 μm.Additionally, the Mg side interface also partially melts, forming a eutectic structure composed of Mg solid solution and Al_(12)Mg_(17) phase.For the innovative butt joint, the Mg side interface presents the curved interlocking feature, and intermetallic compounds can be reduced to less than 10 μm. The joint strength of innovative butt joint is more than three times that of conventional butt joint. This is due to the interlocking effect and thin intermetallic compounds in the innovative joint.
基金The authors are grateful for the financial support of the National Key Research and Development Program of China(2017YFC0703500).
文摘The construction of grouting butt joints of bamboo tubes is simple and efficient.However,when the joint is bent,the low tensile strength of the mortar easily leads to cracking of the mortar prior to the failure of the bamboo tube.In this paper,a comparative test of the bending capacity was performed on grouting butt joints reinforced by nonperforated,fully perforated,and semiperforated steel plates embedded in bamboo tubes to obtain the loaddisplacement curves and ultimate bearing capacity of various specimens.The strengthening effect of CFRP pasted on bamboo tubes was also studied.The results show that the opening at the end of the steel plate is beneficial to resist the slip between the mortar and steel plate,while the complete section in the middle of the steel plate is conducive to making full use of the tensile strength of the steel plate.Therefore,it is best to insert the semiperforated steel plate with openings in the end and without openings in the middle into the mortar to enhance the bending properties of the grouting butt joint,which can make the failure mode of the joint change from brittle failure of mortar to ductile compression failure of bamboo tube.In addition,pasting CFRP sheets on the external wall of the bamboo tube helps to reduce the tensile stress of the mortar,while increasing the width of the steel plate can increase the bending moment of inertia of the mixture of the steel plate and mortar.These two complementary measures are very effective in delaying the cracking of the bamboo tube and improving the bending capacity of the joint.
文摘It is common practice in the offshore industry to solve the punching shear problem due to compression by using doubler plate. The finite-element method is a useful tool for studying this problem. The aim of this paper is to study the static strength of doubler plate reinforced Y-joints subjected to compression loading. The finite-element method is adopted in numerical parametric studies. The individual influences of the geometric parameters βand τd (doubler plate to chord wall thickness ratio) and ld/d1(dubler plate length to brace diameter ratio) on the ultimate strength are made clear. The results show the size of plate may have important effects on the strength of reinforced joints. It is found that the ultimate strength of Y-joints reinforced with appropriately proportioned doubler plates can be greatly improved nearly up tothree times to un-reinforced Y-joints.
文摘Some parts with capillary to plate joint have important application in aerocrafi. Vacuum electron beam brazing (VEBB) technology is used to realize this jointing with capillaries. Firstly 3D finite element analysis model is built in this paper according to this special structure. And then ANSYS finite element analysis software is used to analyze brazing temperature field at different brazing parameters. The calculation results show that the temperature field of simulation has good agreement with that measured by experiment, which proves dependence of the model built in this paper. And also reference parameters could be provided for real brazing process through calculation in this model. Brazed joint of capiUary to plate with good performance is achieved using VEBB technology. The achievement of the study will be applied in aerocrafi in the future.
文摘Duplex stainless steel clad plate exhibits good performance and is relatively inexpensive,however,some difficulties must be overcome when welding different materials. In this study,submerged arc welding( SAW) was used to weld Baosteel ship clad plates( 2205 + DH36),and the performance of the welded joints was tested. The results indicate that the mechanical properties and the corrosion resistance of the welded joints meet the required specifications. The distribution of the main anti-corrosive elements and the phase ratio of the welded joint are analyzed,thereby indicating excellent uniformity and confirming that the welded joint is corrosion resistant.
文摘Purpose: Acromioclavicular (AC) joint dislocation is commonly treated using a clavicle hook plate (HP). However, previous reports have indicated that acromial fractures may occur after HP fixation. The purpose of this study was to identify risk factors for acromial fractures. Methods: A retrospective study was conducted on 39 patients with AC joint dislocation who were treated using clavicle HP fixation in our hospital between 2006 and 2017. Related parameters, including Rockwood classification, hook angle, the degree of reduction, the coverage of the hook under the acromion, and the anteroposterior position of the hook under the acromion, were evaluated to identify risk factors for acromial fractures. Results: The mean age of the participants was 51.7 (range 19 - 81) years;34 were men and 5 were women. Injury occurred on the right side in 18 patients and on the left side in 21. Injuries were categorized as follows: 24 were Rockwood type III, one was type IV, and 14 were type V. Four of the 39 patients (10%) experienced acromial fractures. Statistical analyses indicated that the degree of reduction at the final follow-up was moderately correlated with the Constant score. Posterior positioning of the hook was the only identified risk factor for acromial fractures. Hook angle and the degree of reduction at the time of surgery were not significantly associated with acromial fractures. Conclusions: Postoperative shoulder function was associated with the degree of reduction at the final follow-up, suggesting that anatomical reduction is recommended for AC joint dislocation. Posterior positioning of the hook is a risk factor for acromial fractures;however, clavicle HP fixation provides a positive outcome for AC joint dislocation. Therefore, careful positioning of the hook is required for preventing acromial fractures.
基金Projects(51278209 and 51478047) supported by the National Natural Science Foundation of ChinaProject(ZQN-PY110) supported by Promotion Program for Young and Middle-aged Teacher in Science and Technology Research of Huaqiao University,China+1 种基金Project(2014FJ-NCET-ZR03) supported by Program for New Century Excellent Talents in Fujian Province University,ChinaProject(JA13005) supported by Incubation Programme for Excellent Young Science and Technology Talents in Fujian Province Universities,China
文摘The static test of 13 square hollow section(SHS) X-joints with different β and different types of plate reinforcement under in-plane moment in brace was carried out. Experimental test schemes, failure modes of specimens, moment-vertical displacement curves, moment-deformation of the chord, and strain strength distribution curves were presented. The effect of β and plate reinforcement types on in-plane flexural property of SHS X-joints was studied. Results show that punching shear of chord face disappears, brace material fracture appears and concave and convex deformation of chord decrease when either collar plates or doubler plates were welded on chord face. Moment-vertical displacement curves of all specimens have obvious elastic, elastic-plastic and plastic stages. As β increases, the in-plane flexural ultimate capacity and initial stiffness of joints of the same plate reinforcement type increase, but ductility of joints decreases. With the same β, the in-plane flexural initial stiffness and ultimate capacity of doubler plate reinforced joints, collar plate reinforced joints, and unreinforced joints decrease progressively. Thickness of reinforcement plate has no obvious effect on in-plane flexural initial stiffness and ultimate capacity of joints. As thickness of reinforcement plate increases, the ductility of reinforced X-joints decreases. The concave and convex deformation of every specimen has good symmetry;as β increases, the yield and ultimate deformation of chord decrease.
文摘This paper studies the effects of fiber orientaion and holes position on stress concentration and the determination of weakened areas in the composite of glass fiber reinforced epoxy resin around the hole for joints by using the finite element method.In this study,for the observation of areas affected by stress concentration Tsai-Wu failure criterion is used to determine the failed elements and ANSYS Software is implemented for modeling.In order to compare the effect of geometric parameters on stress concentration around the holes,two types of hole position arrangement along with fibers orientation have been studied.Results show that the stress concentration coefficient is lower in the second type of holes arrangement in comparison with the first type for the same component dimensions.Increasing the distance from hole center to upper or lower edge of the sample and also decreasing the distance between holes,would result in an increase in the stress concentration.
基金Natural Science Foundation of Inner Mongolia Autonomous Region(2019MS08045).
文摘Objective:To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods:80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected.They were randomly divided into the control group(n=39,treated with clavicular hook plate)and the observation group(n=41,treated with clavicular hook plate combined with coracoclavicular ligament repair)by the random number table method.The clinical efficacy in 12 months after operation,related clinical indicators,12-month postoperative recovery and postoperative complications were compared between the two groups.Results:The excellent and good rate was 92.68%(38/41)in 12 months after operation in the observation group,which was higher than that(76.92%,30/39)in the control group(p<.05).There were no significant differences in the duration of surgery,intraoperative blood loss and HLOS between the observation group and the control group(p>.05).In 12 months after operation,abduction activity and forward flexion activity of the observation group were higher than those of the control group,and visual analogue score(VAS)was lower than that of the control group(p<.05).The incidence of complications in the observation group was slightly lower than that in the control group,but there was no statistically significant difference between the two groups(p>.05).Conclusions:For TOSSY type III acromioclavicular joint dislocation,clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy.It can improve shoulder joint function,alleviate shoulder pain and have fewer complications.It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.
文摘BACKGROUND Fusion of the first metatarsophalangeal(MTP1)joint is a common surgery performed to correct hallux rigidus,hallux rigidus et valgus and other painful degenerative diseases of the MTP1.AIM To assess outcomes of our surgical technique including non-union rates,accuracy and aims of correction.METHODS Between September 2011 and November 2020 a total 72 of MTP1 fusions were performed using a low profile,pre-contoured dorsal locking plate and a plantar compression screw.Union and revision rates were analyzed with a minimum clinical and radiological follow up of at least 3 mo(range 3-18 mo).The following parameters were evaluated on pre-and postoperative conventional radiographs:Intermetatarsal angle,Hallux-valgus angle,dorsal extension of the proximal phalanx(P1)in relation to the floor and the angle between the Metatarsal 1 and the P1(MT1-P1 angle).Descriptive statistical analysis was performed.Pearson analysis was used to assess for correlations between radiographic parameters and achievement of fusion.RESULTS An overall union rate of 98.6%(71/72)was achieved.Two out of 72 patients did not primarily fuse with one patient suffering from a non-union,whilst the other demonstrating a radiological delayed union without clinical symptoms,with eventually complete fusion after 18 mo.There was no correlation between the measured radiographic parameters and the achievement of fusion.We believe the reason for the non-union was mainly attributed to the patient’s incompliance without wearing the therapeutic shoe leading to a fracture of the P1.Furthermore,we didn`t find any correlation between fusion and the degree of correction.CONCLUSION With our surgical technique,high union rates(98%)can be achieved using a compression screw and a dorsal variable-angle locking plate to treat degenerative diseases of the MTP1.
文摘目的比较TightRope带襻钢板与Endobutton钢板在治疗肩锁关节脱位中的疗效。方法回顾性分析2021年3月~2023年2月常州市第二人民医院创伤中心94例肩锁关节脱位的临床资料,根据时间段分为2组,2021年3月~2022年2月采用Endobutton钢板治疗(E组,n=47),2022年3月~2023年2月采用TightRope带襻钢板治疗(T组,n=47),末次随访比较2组围术期指标、疼痛视觉模拟评分(Visual Analogue Scale,VAS)、Constant-Murley肩关节功能评分及手术并发症发生率。结果T组手术时间、术中出血量、切口长度及术后7 d VAS评分明显短于/低于E组(P<0.05)。2组神经损伤、内固定移位、锁骨骨折、血管损伤及感染发生率无统计差异(χ~2=1.389,P=0.239)。2组术后9个月肩关节功能主客观评分与术前比较均得到明显改善(均P=0.000);术后9个月肩关节功能主客观评分2组比较差异无显著性(P>0.05)。结论TightRope带襻钢板和Endobutton钢板治疗肩锁关节脱位均效果显著,可有效改善患者肩关节功能。与Endobutton钢板比较,TightRope带襻钢板手术创伤更小,出血更少,明显减轻术后疼痛,更有利于患者早期功能锻炼。