[1]林山,穆臣会△,李耀锋.全关节镜下治疗急性Ⅲ型肩锁关节脱位的早期疗效观察[J].中国中医骨伤科杂志,2023,31(10):50-53+56.[doi:10.20085/j.cnki.issn1005-0205.231010]
　LIN Shan,MU Chenhui,LI Yaofeng.Early Efficacy of Total Arthroscopic Treatment of Acute Rockwood Ⅲ Acromioclavicular Dislocation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(10):50-53+56.[doi:10.20085/j.cnki.issn1005-0205.231010]
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全关节镜下治疗急性Ⅲ型肩锁关节脱位的早期疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年10期
页码:
50-53+56
栏目:
临床报道
出版日期:
2023-10-15

文章信息/Info

Title:
Early Efficacy of Total Arthroscopic Treatment of Acute Rockwood Ⅲ Acromioclavicular Dislocation
文章编号:
1005-0205(2023)10-0050-04
作者:
林山1; 2; 穆臣会1△; 李耀锋1
1厦门大学附属第一医院骨科(福建 厦门,361003)
2厦门大学医学院
Author(s):
LIN Shan1; 2; MU Chenhui1△; LI Yaofeng1
1Department of Orthopaedics,The First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian China;
2School of Medicine,Xiamen University,Xiamen 361102,Fujian China.
关键词:
肩锁关节脱位;  可调节带袢钛板;  肩关节镜;  内固定
Keywords:
acromioclavicular dislocation;  adjustable titanium plate with loops;  shoulder arthroscopy;  internal fixation
分类号:
R684.7
DOI:
10.20085/j.cnki.issn1005-0205.231010
文献标志码:
B
摘要:
目的:探讨全关节镜下AC-TightRope 带袢钛板系统治疗急性Rockwood Ⅲ型肩锁关节脱位的早期临床疗效。方法:对26例急性Rockwood Ⅲ型肩锁关节脱位患者均采用全关节镜下AC-TightRope 带袢钛板系统微创内固定治疗,术后康复锻炼,定期随访,采用Constant-Murley和Karlsson肩关节功能评分标准对疗效进行评估。结果:26例患者手术过程均顺利,术中未发生血管、神经损伤,手术切口均一期愈合。手术时间为40～65 min,平均为(49.10±7.60)min; 术后未见钛板松动移位、医源性骨折、肩锁关节再脱位等并发症。所有患者均获得(13.00±1.21)个月随访,术后12个月时肩关节功能Constant-Murley评分由术前(41.43±7.27)分提高到(97.38±0.86)分,差异有统计学意义(P<0.001),肩关节恢复良好,较术前明显改善。Karlsson评分优20例,良6例,优良率达100%。结论:全关节镜下AC-TightRope 治疗急性Rockwood Ⅲ型肩锁关节脱位早期疗效满意,具有手术微创、切口小、术后恢复快、无须取出内固定等优点。
Abstract:
Objective:To explore the clinical early efficacy of AC-TightRope on the treatment of acute Rockwood Ⅲ acromioclavicular dislocation under shoulder arthroscopy.Methods:26 patients with acute Rockwood Ⅲ acromioclavicular dislocation were all adopted of AC-TightRope titanium plate system minimally invasive internal fixation under shoulder arthroscopics,follow-up after surgery and guided functional exercise were evaluated regularly.The efficacy was evaluated according to shoulder joint Constant-Murray and Karlsson evaluation criteria.Results:All the 26 patients had a smooth surgical procedures,with an average operating time of(49.10±7.60)min,without vascular or nerve injuries.There were no postoperative complications such as incision infection,titanium plate loosen or displacement,medical fractures,recurrent dislocation of the acromioclavicular joint or others.All patients were followed up for(13.00±1.21)months.On 12 months after surgery,the Constant-Murray score of shoulder function increased from preoperative(41.43±7.27)points to postperative(97.38±0.86)points,with statistically significant differences(P<0.001).Shoulder function recovered well,as to Karlsson scored:12 cases were excellent,4 cases were good,and the excellent rate was 100%.Conclusion:The treatment of acute Rockwood Ⅲ shoulder lock joint dislocation by AC-TightRope titanium plate system under shoulder arthroscopy is satisfactory,with the advantages of minimally invasive surgery,small incision,early movement,few complications,and no need to remove internal fixation.

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金面上项目(2018J0385)
△通信作者 E-mail:mu01118@sohu.com
更新日期/Last Update: 2023-10-01