[1]何影浩△ 吴征杰.喙锁韧带重建治疗Rockwood Ⅲ,Ⅳ,Ⅴ型肩锁关节损伤的临床研究[J].中国中医骨伤科杂志,2017,25(04):14-17,21.
 HE Yinghao WU Zhengjie.Clinical Research of Coracoclavicular Ligament Reconstruction in Treatment of Rockwood Type Ⅲ,Ⅳ,Ⅴ Acromioclavicular Joint Dislocation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2017,25(04):14-17,21.
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喙锁韧带重建治疗Rockwood Ⅲ,Ⅳ,Ⅴ型肩锁关节损伤的临床研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年04期
页码:
14-17,21
栏目:
临床研究
出版日期:
2017-04-06

文章信息/Info

Title:
Clinical Research of Coracoclavicular Ligament Reconstruction in Treatment of Rockwood Type Ⅲ,Ⅳ,Ⅴ Acromioclavicular Joint Dislocation
文章编号:
1005-0205(2017)04-0014-04
作者:
何影浩1△ 吴征杰1
1.广东佛山市中医院(广东 佛山,528000)
△.通信作者 E-mail:461713073@qq.com
Author(s):
HE Yinghao1△ WU Zhengjie1
1.Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong China.
关键词:
肩锁关节损伤 喙锁韧带 双Endobutton 重建
Keywords:
acromioclavicular joint dislocation coracoclavicular ligament double Endobutton reconstruction
分类号:
R681.7
文献标志码:
A
摘要:
目的:探讨双Endobutton重建喙锁韧带治疗肩锁关节损伤的有效性和安全性。方法:非随机对照研究,将65例患者分为双Endobutton重建喙锁韧带组(简称Endobutton组,33例)和锁骨钩钢板组(32例)。对比两组肩关节Constant评分、术中出血量、手术时间、住院天数、内固定取出情况、切口感染、异样感、应力骨折和内固定松动、失效等情况。结果:在肩关节Constant评分的总分、疼痛方面,异样感、内固定取出方面,两组差异有统计学意义,在肩关节Constant评分的其他方面,术中出血量、手术时间、住院天数、切口感染、应力骨折和内固定松动、失效等方面,两组差异无统计学意义。结论:双Endobutton重建喙锁韧带治疗肩锁关节损伤是有效且安全的,值得临床推广。
Abstract:
Objective: To analyze the effectiveness and safety of coracoclavicular ligament reconstruction in treatment of acromioclavicular joint dislocation with double Endobutton. Methods: 65 patients were divided into Endobutton group(n=33)and clavicular hook plate group(n=32)with non randomized controlled study.The Constant score, intraoperative blood loss, operative time, hospital stay, internal fixation removal, incision infection, abnormal sensation, stress fracture and internal fixation loosening and failure were compared between the two groups. Results: There were significant differences between the two groups in total score and pain of Constant shoulder function score, abnormal sensation and internal fixation removal.There were no significant differences between the two groups in the other aspects of Constant shoulder function score, intraoperative blood loss, operative time, hospital stay, incision infection, stress fracture and internal fixation loosening and failure. Conclusion: The reconstruction of the acromioclavicular joint with double Endobutton is effective, safe and worthy of clinical promotion.

参考文献/References:

[1] 王亦璁.骨与关节损伤[M].4版.北京:人民卫生出版社,2007:9-814.
[2] 朱义用,汪建良,许科峰,等.锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折的肩痛原因分析[J].中华创伤骨科杂志,2007,9(7):692-693.
[3] Struhl S.Double endobutton technique for repair of complete acromioclavicular joint dislocations[J].Techniq Should Elbow Surg,2007,8(4):175-179.
[4] Bucholz RW.洛克伍德-格林成人骨折[M].7版.北京:人民军医出版社,2014:1189,1193-1197.
[5] Rockwood CA.Disorders of the acromioclavicularjoint[M]//RockwoodCA,Matsen FA.The shoulder.Philadelphia:Sounders WB,1985:413-476.
[6] 常山,严小虎,闫广华,等.不修复喙锁韧带的锁骨钩钢板固定治疗肩锁关节脱位[J].中国骨与关节损伤杂志,2010,25(7):623-624.
[7] Constant CR,Murley AH.A clinical method of functional assessment of the shoulder[J].Clin Orthop Relat Res,1987,214:160-164.
[8] Canale ST.坎贝尔骨科手术学[M].11版.北京:人民军医出版社,2009:2813.
[9] 王海明,陈云丰,陆叶,等.Triple-Endobutton 技术与锁骨钩钢板置入治疗肩锁关节脱位的比较[J].中国组织工程研究,2012,16(17):3105-3010.
[10] 杨英果,蔡晓冰,王晓民,等.钩钢板治疗肩锁关节脱位肩痛原因分析的病例对照研究[J].中国骨伤,2015,28(6):494.
[11] Baker JE,Nicandri GT,Young DC,el a1.A cadaveric study examining acromioclavicular joint congruity after different methods of coraco-clavicular loop repair[J].J Shoulder Elbow Surg,2003,12:595-598.
[12] 张峻,王友,孙月华,等.Endobutton 治疗肩锁关节脱位术后复位丢失与固定装置力臂的相关性研究[J].医用生物力学,2011,26(5):476-481.
[13] 诸力,杨贺杰,赵万军,等.Endobutton 袢钢板和锁骨钩钢板治疗新鲜肩锁关节脱位的病例对照研究[J].中国骨伤,2012,25(2):120-123.
[14] 田竞,于海龙,薛海鹏,等.Endobutton技术治疗肩锁关节脱位失效的原因分析[J].中国骨与关节外科,2012,5(6):497-500.
[15] 赵加松,扶世杰,汪国友,等.关节镜辅助下袢钢板治疗Rockwood Ⅲ型肩锁关节脱位的临床疗效观察[J].中国矫形外科杂志,2015,23(16):1527-1529.
[16] 颜瑞健,陆建伟,张春.改良双 Endobutton 技术治疗 TossyⅢ型肩锁关节脱位的远期疗效分析[J].中国骨伤,2014,27(1):9-12.

备注/Memo

备注/Memo:
基金项目:佛山市卫生局项目(20160011)
更新日期/Last Update: 2017-04-07