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改良双Endobutton技术治疗TossyⅢ型肩锁关节脱位
Hits: 2402   Download times: 1235   Received:June 25, 2010    
作者Author单位UnitE-Mail
陆建伟 LU Jian-wei 浙江省立同德医院,浙江 杭州 310012 Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China lujianwei1202@163.com 
宋红浦 SONG Hong-pu 浙江省立同德医院,浙江 杭州 310012 Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
林炳远 LIN Bing-yuan 浙江省立同德医院,浙江 杭州 310012 Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
卢笛 LU Di 浙江省立同德医院,浙江 杭州 310012 Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
刘宏 LIU Hong 浙江省立同德医院,浙江 杭州 310012 Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
期刊信息:《中国骨伤》2010年23卷,第11期,第865-867页
DOI:10.3969/j.issn.1003-0034.2010.11.022


目的:探讨改良双Endobutton技术治疗Tossy Ⅲ型肩锁关节脱位的疗效。

方法:2008年6月至2009年6月,18例Tossy Ⅲ型肩锁关节脱位,男11例,女7例;年龄28~55岁,平均35岁;采用改良双Endobutton技术手术,手术时间在伤后2~5 d,平均3.5 d.术后1周开始功能锻练。对患者进行跟踪随访,评定疗效。

结果:18例患者均得到随访,时间4~8个月,平均6个月,脱位全部复位,无再脱位。按照Karlsson标准评定患者术后的肩关节功能恢复情况:A级16例,B级2例。

结论:改良双Endobutton技术创伤小,固定牢固,操作方便,是TossyⅢ型肩锁关节脱位理想的治疗方法。
[关键词]:肩锁关节  脱位  骨折固定术,内
 
Improvement technique of double Endobutton plate for the treatment of type Ⅲ acromioclavicular joint dislocation
Abstract:

Objective: To evaluate the clinical outcomes of improvement technique of double Endobutton plate for the treatment of Tossy Ⅲ acromioclavicular joint dislocation.

Methods: From June 2008 to June 2009,18 patients with Tossy Ⅲ acromioclavicular joint dislocation were treated with improvement technique of double Endobutton plate. There were 11 males and 7 females,with an average age of 35 years old ranging from 28 to 55 years.The time from injury to operation was 2 to 5 days (means 3.5 days). All patients were followed and the clinical outcomes were recorded.

Results: These 18 patients were followed up from 4 to 8 months (averaged 6 months). All acromioclavicular joint dislocation were reduced. According to the scales of Karlsson,the post-operation function1 of shoulder-joint in 16 patients were A grade and 2 patients were B grade.

Conclusion: The improvement technique of double Endobutton plate is an effective ideal treatment methods for Tossy Ⅲ acromioclavicular joint dislocation due to its less invasion and convenience and good biocompatibility.
KEYWORDS:Acromioclavicular joint  Dislocations  Fracture fixation,internal
 
引用本文,请按以下格式著录参考文献:
中文格式:陆建伟,宋红浦,林炳远,卢笛,刘宏.改良双Endobutton技术治疗TossyⅢ型肩锁关节脱位[J].中国骨伤,2010,23(11):865~867
英文格式:LU Jian-wei,SONG Hong-pu,LIN Bing-yuan,LU Di,LIU Hong.Improvement technique of double Endobutton plate for the treatment of type Ⅲ acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(11):865~867
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