| 两种内固定方法治疗AllmanⅢ度肩锁关节脱位的临床疗效比较 |
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| 作者 | Author | 单位 | Unit | E-Mail |
| 郭建邦 |
GUO Jian-bang |
温州医学院附属第二医院骨科,浙江 温州 325027 |
Department of Orthopaedics,the Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325027,Zhejiang,China |
ymzhao710@163.com |
| 赵友明 |
ZHAO You-ming |
温州医学院附属第二医院骨科,浙江 温州 325027 |
Department of Orthopaedics,the Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325027,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年22卷，第9期，第650-652页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：比较克氏针张力带钢丝和锁骨钩钢板治疗AllmanⅢ度肩锁关节脱位的临床疗效。
方法：1995年1月至2007年12月，应用两种方法治疗39例Ⅲ度肩锁关节脱位，平均随访时间均超过4年。其中克氏针张力带钢丝法(TBF)治疗18例，男12例，女6例；平均年龄(27.50±12.76)岁；取出内固定时间平均(4.28±1.27)个月。锁骨钩钢板法(CHP ) 治疗21例，男18例，女3例；平均年龄(34.76±12.39)岁；取出内固定时间平均(8.29±1.49)个月。依据内固定并发症、Karlsson评价方法、重新半脱位情况比较两种内固定的临床疗效。
结果：TBF组患者受伤至取内固定时平均病程(4.28±1.27)个月，CHP组为(8.29±1.49)个月，两组比较t=-8.951,P<0.01,差异有统计学意义，即TBF组比CHP组病程短。TBF法和CHP法内固定并发症分别为5例和1例，两组比较，P=0.077>0.05,差异无统计学意义；发生重新半脱位分别3例和1例，两组比较，P=0.318>0.05,差异无统计学意义。Karlsson评价结果：TBF组A级15例，B级3例，C级0例；CHP组A级20例，B级1例，C级0例，两组比较，P=0.530>0.05,差异无统计学意义。
结论： 两种内固定方法均是治疗AllmanⅢ度肩锁关节脱位的有效方法，远期疗效满意。 |
| [关键词]:肩锁关节 脱位 内固定器 手术后并发症 临床对照试验 |
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| Comparison of therapeutic effects of two internal fixations for the treatment of acromioclavicular joint dislocation of Allman GradeⅢ |
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Abstract:
Objective: To compare therapeutic effects between Kirschner tension band fixation(TBF) and clavicular hook-plate (CHP) for treating acromioclavicular dislocations of Allman GradeⅢ。
Methods: From Jan.1995 to Dec.2007,a total of 39 patients who were diagnosed as acromioclavicular joint dislocation of Grade Ⅲ were treated with Kirschner tension band fixation(TBF 18 patients,12 patients were male,6 patients were female,mean age were (27.50±12.76) years old,average fixation duration were (4.28±1.27) months) and clavicular hook plate fixation(CHP 21 patients,18 patients were male,3 patients were female,mean age were(34.76±12.39)years old,average fixation during were (8.29±1.49) months). All the patients were followed up with a mean period over 4 years. The therapeutic effects of the two groups were compared base on complications,Karlsson scores and re-subluxation.
Results: The average period from injury to fixation removal was(4.28±1.27) and (8.29±1.49) months in TBF and CHP groups respectively,comparison between the two groups,t=-8.951,P<0.01,there was statistical difference,and the course of disease in TBF group was shorter than that of CHP group. Five patients in TBF group and 1 patient in CHP group had complications(P=0.077>0.05),as well as 3 patients in TBF group and 1 patient in CHP group had re-subluxation(P=0.318>0.05). Karlsson evaluation Results:in TBF group,15 patients got a grade A result,3 grade B and 0 grade C;and in CHP groups above data was 20,1 and 0 respectively(P=0.530>0.05). There was no statistical differences between the two groups in evaluation outcomes.
Conclusion: The two fixation methods are all effective methods to treat Grade Ⅲ acromioclavicular dislocation of Grade Ⅲ，and the long-term outcome is satisfactory. |
| KEYWORDS:Acromioclavicular joint Dislocations Internal fixators Postoperative complications Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郭建邦,赵友明.两种内固定方法治疗AllmanⅢ度肩锁关节脱位的临床疗效比较[J].中国骨伤,2009,22(9):650~652 |
| 英文格式: | GUO Jian-bang,ZHAO You-ming.Comparison of therapeutic effects of two internal fixations for the treatment of acromioclavicular joint dislocation of Allman GradeⅢ[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(9):650~652 |
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