| 三重无袢Endobutton钢板联合Orthcord线治疗TossyⅢ型肩锁关节脱位 |
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投稿时间：2015-05-17
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| 作者 | Author | 单位 | Address | E-Mail |
| 夏明华 |
XIA Ming-hua |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
xiaminghua418@126.com |
| 谢水华 |
XIE Shui-hua |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 吴军 |
WU Jun |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 张文庆 |
ZHANG Wen-qing |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 陈卫东 |
CHEN Wei-dong |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 何建华 |
HE Jian-hua |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 丁浩 |
DING Hao |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 胡前芹 |
HU Qian-qin |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 王小鹏 |
WANG Xiao-peng |
南昌市中西医结合医院骨伤科, 江西 南昌 330003 |
Department of Orthopaedics, Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Nanchang 330003, Jiangxi, China |
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| 期刊信息：《中国骨伤》2016年，第29卷，第7期，第658-661页 |
| DOI：10.3969/j.issn.1003-0034.2016.07.016 |
| 基金项目: |
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中文摘要:
目的：探讨采用三重无袢Endobutton钢板联合Orthcord线手术方法治疗TossyⅢ型肩锁关节脱位的临床疗效。
方法：2011年2月至2013年9月，采用三重无袢Endobutton钢板联合Orthcord线方法治疗36例TossyⅢ型肩锁关节脱位患者，男21例，女15例；年龄9~48岁，平均（26.41±14.05）岁；病程2~7 d.临床表现为患肩肿痛，外展活动受限，肩锁关节处压痛，琴键征阳性。术后观察其临床症状及并发症，并采用肩锁关节脱位评分系统进行肩关节功能评价。
结果：36例患者术后均获得随访，时间8~15个月，平均（12.2±4.3）个月，所有患者术后切口Ⅰ期愈合。末次随访时全部患侧肩部疼痛消退，肩锁关节处无压痛，琴键征阴性。术后无再次脱位、钢板松动等发生。根据肩锁关节脱位评分系统：优 31例，良 5 例。
结论：三重无袢Endobutton钢板联合Orthcord线技术治疗TossyⅢ型肩锁关节脱位时锁骨及喙突骨折风险更小，并发症少，功能恢复好，是理想的治疗方法。 |
| 【关键词】肩锁关节 脱位 Endobutton钢板 Orthcord线 |
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| Triple no loop Endobutton plate combined with Orthcord line for the treatment of acromioclavicular dislocation of Tossy type Ⅲ |
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ABSTRACT
Objective: To explore the clinical effects of the triple no loop Endobutton plate combined with Orthcord line in treating acromioclavicular dislocation of Tossy type Ⅲ。
Methods: Between February 2011 and September 2013, 36 patients with acromioclavicular dislocation of Tossy type Ⅲ were treated with triple no loop Endobutton plate and Orthcord line. There were 21 males and 15 females, aged from 9 to 48 years old with an average of (26.41±14.05) years. Couse of disease was from 2 to 7 days in the patients. The patients had the clinical manifestations such as shoulder pain, extension limited, acromioclavicular tenderness, positive organ point sign. Clinical effects were assessed by acromioclavicular scoring system.
Results: Thirty-six patients were followed up from 8 to 15 months with an average of (12.2±4.3) months. All incisions got primary healing. At the final follow-up, all shoulder pain vanished, acromioclavicular joints without tenderness, negative organ point sign. No redislocation and steel plate loosening were found. According to the acromioclavicular scoring system, 31 cases obtained excellent results, 5 good.
Conclusion: The method of triple no loop Endobutton plate combined with Orthcord line for acromioclavicular dislocation of Tossy type Ⅲ has advantage of less risk and complication, good functional rehabilitation and is an ideal method. |
| KEY WORDS Acromioclavicular joint Dislocations Endobutton plate Orthcord line |
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| 中文格式: | 夏明华,谢水华,吴军,张文庆,陈卫东,何建华,丁浩,胡前芹,王小鹏.三重无袢Endobutton钢板联合Orthcord线治疗TossyⅢ型肩锁关节脱位[J].中国骨伤,2016,29(7):658~661 |
| 英文格式: | XIA Ming-hua,XIE Shui-hua,WU Jun,ZHANG Wen-qing,CHEN Wei-dong,HE Jian-hua,DING Hao,HU Qian-qin,WANG Xiao-peng.Triple no loop Endobutton plate combined with Orthcord line for the treatment of acromioclavicular dislocation of Tossy type Ⅲ[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(7):658~661 |
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