| 肩关节镜辅助下三种不同钢板固定治疗肩锁关节脱位的疗效比较 |
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投稿时间：2019-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 吴在顶 |
WU Zai-ding |
安徽理工大学附属淮南东方医院总医院骨科, 安徽 淮南 232000 |
Department of Orthopaedics, General Hospital of Huainan Oriental Hospital Affiliated to Anhui University of Technology, Huainan 232000, Anhui, China |
wuzaiding123@163.com |
| 江涛 |
JIANG Tao |
安徽理工大学附属淮南东方医院总医院骨科, 安徽 淮南 232000 |
Department of Orthopaedics, General Hospital of Huainan Oriental Hospital Affiliated to Anhui University of Technology, Huainan 232000, Anhui, China |
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| 王怀波 |
WANG Huai-bo |
安徽理工大学附属淮南东方医院总医院骨科, 安徽 淮南 232000 |
Department of Orthopaedics, General Hospital of Huainan Oriental Hospital Affiliated to Anhui University of Technology, Huainan 232000, Anhui, China |
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| 高飞 |
GAO Fei |
安徽理工大学附属淮南东方医院总医院骨科, 安徽 淮南 232000 |
Department of Orthopaedics, General Hospital of Huainan Oriental Hospital Affiliated to Anhui University of Technology, Huainan 232000, Anhui, China |
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| 吴启明 |
WU Qi-ming |
安徽理工大学附属淮南东方医院总医院骨科, 安徽 淮南 232000 |
Department of Orthopaedics, General Hospital of Huainan Oriental Hospital Affiliated to Anhui University of Technology, Huainan 232000, Anhui, China |
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| 李晓飞 |
and LI Xiao-fei |
安徽理工大学附属淮南东方医院总医院骨科, 安徽 淮南 232000
青岛大学附属医院骨科, 山东 青岛 266003 |
Department of Orthopaedics, General Hospital of Huainan Oriental Hospital Affiliated to Anhui University of Technology, Huainan 232000, Anhui, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第8期，第696-702页 |
| DOI：10.12200/j.issn.1003-0034.2020.08.002 |
| 基金项目:国家自然科学基金项目（编号：81672197） |
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中文摘要:目的：探讨肩关节镜辅助TightRope钢板与Triple-Endobutton钢板和双Endobutton钢板治疗Rockwood Ⅲ-Ⅴ型肩锁关节脱位的临床效果。
方法：自2014年1月至2018年1月采用手术方法治疗128例肩锁关节脱位患者。根据手术方案分成3组：双Endobutton组，Triple-Endobutton组和TightRope组。所有肩锁关节脱位手术由同一手术团队完成，主刀医生为同一主任医师。记录患者的一般资料如性别、年龄、手术时间、切口长度、术中失血量，统计手术前后患者视觉模拟评分（visual analogue scale，VAS）和Constant-Murley肩关节功能评分。
结果：术后患者伤口愈合良好，无近期并发症发生。111例患者获随访，时间6~12（9.1±3.1）个月。3组患者一般资料比较差异无统计学意义（P>0.05）。3组患者中，Triple-Endobutton组手术时间最长，明显高于另两组（P<0.05）；TightRope组手术时间最短，明显低于另两组（P<0.05）。3组患者术后1个月VAS评分比较中，TightRope组明显低于另两组（P<0.05）。3组患者术后12个月Constant-Murley评分比较中，TightRope组明显高于另两组（P<0.05）。TightRope组患者术后切口感染发生率明显低于另两组（P<0.05）；复位丢失发生率的比较中，双Endobutton组明显高于另两组（P<0.05），TightRope组要明显高于Triple-Endobutton组（P<0.05）；关节粘连发生率的比较中，TightRope组要明显低于另两组（P<0.05）。
结论：肩关节镜辅助下TightRope钢板固定方案相比双Endobutton钢板固定和Triple-Endobutton钢板固定方案更加具有优势。 |
| 【关键词】肩锁关节 肩脱位 关节镜 内固定器 |
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| Comparison of the effect of arthroscopy assisted TightRope plate and Triple-Endobutton plate and Double Endobutton plate in the treatment of acromioclavicular dislocation |
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ABSTRACT Objective: To investigate the clinical effect of arthroscopic assisted TightRope plate,Triple-Endobutton plate and Double Endobutton plate in treating of Rockwood type Ⅲ-Ⅴ acromioclavicular dislocation.
Methods: From January 2014 to January 2018,128 patients with acromioclavicular dislocation were treated by operation. According to the operation plan,the patients were divided into three groups:Double Endobutton group,Triple-Endobutton group and TightRope group. All patients with acromioclavicular dislocation were operated by the same operation team,and the chief surgeon was the same chief physician. General baseline data such as gender,age,operation time,incision length,intraoperative blood loss,VAS score of pain and Constant-Murley shoulder function score were recorded.
Results: The wound healed well and no recent complications occurred. One hundred and eleven patients were followed up for 6 to 12(9.1±3.1) months. There was no significant difference on general data among three groups(P>0.05). Among three groups,the operation time of Triple-Endobutton group was the longest,significantly higher than that of other two groups(P<0.05);the operation time of TightRope group was the shortest,significantly lower than that of other two groups(P<0.05). At 1 month after operation,VAS score comparison of three groups,TightRope group was significantly lower than other two groups,with statistical difference(P<0.05). At 12 months after operation of three groups,the Constant-Murley score of TightRope group was significantly higher than that of two group(P<0.05). The incidence of incision infection in TightRope group was significantly lower than that of other two groups(P<0.05); the incidence of reduction loss in Double Endobton group was significantly higher than that of other two groups(P<0.05),the incidence of reduction loss in TightRope group was significantly higher than that of Triple endobton group(P<0.05);the incidence of joint adhesion in TightRope group was significantly lower than that of other two groups(P<0.05).
Conclusion: TightRope plate fixation with arthroscopy is more advantageous than Double Endobutton plate fixation and Triple-Endobutton plate fixation. |
| KEY WORDS Acromioclavicular joint Shoulder dislocation Arthroscopy Internal fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴在顶,江涛,王怀波,高飞,吴启明,李晓飞.肩关节镜辅助下三种不同钢板固定治疗肩锁关节脱位的疗效比较[J].中国骨伤,2020,33(8):696~702 |
| 英文格式: | WU Zai-ding,JIANG Tao,WANG Huai-bo,GAO Fei,WU Qi-ming,and LI Xiao-fei.Comparison of the effect of arthroscopy assisted TightRope plate and Triple-Endobutton plate and Double Endobutton plate in the treatment of acromioclavicular dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(8):696~702 |
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