| 带袢钢板重建喙锁韧带治疗急性肩锁关节脱位 |
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Received:July 16, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈芒芒 |
CHEN Mang-mang |
温州市第二人民医院创伤外科，浙江 温州 325000 |
Department of Trauma,the Second People's Hospital of Wenzhou,Wenzhou 325000,Zhejiang,China |
17433084@qq.com |
| 叶秀云 |
YE Xiu-yun |
温州市第二人民医院创伤外科，浙江 温州 325000 |
Department of Trauma,the Second People's Hospital of Wenzhou,Wenzhou 325000,Zhejiang,China |
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| 倪跃平 |
NI Yue-ping |
温州市第二人民医院创伤外科，浙江 温州 325000 |
Department of Trauma,the Second People's Hospital of Wenzhou,Wenzhou 325000,Zhejiang,China |
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| 牟哲飞 |
MOU Zhe-fei |
温州市第二人民医院创伤外科，浙江 温州 325000 |
Department of Trauma,the Second People's Hospital of Wenzhou,Wenzhou 325000,Zhejiang,China |
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| 黄力鹏 |
HUANG Li-peng |
温州市第二人民医院创伤外科，浙江 温州 325000 |
Department of Trauma,the Second People's Hospital of Wenzhou,Wenzhou 325000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年24卷，第3期，第189-191页 |
| DOI：10.3969/j.issn.1003-0034.2011.3.003 |
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目的：探讨急性肩锁关节脱位使用带袢钢板重建喙锁韧带的临床疗效，从而寻求较理想的治疗方法。
方法：自2008年10月至2010年1月，采用带袢钢板内固定并重建喙锁韧带治疗急性RockwoodⅢ型以上肩锁关节脱位12例。男9例，女3例；年龄31～83岁，平均55岁；左侧8例，右侧4例；车祸伤7例，摔伤4例，运动伤1例。合并肋骨骨折4例，颅脑外伤2例，股骨干骨折1例。临床表现为肩锁关节部位肿胀，喙突和肩锁关节压痛，琴键征阳性，肩关节活动明显受限。手术时间为伤后2～10 d,平均6 d.治疗后对患者的肩关节活动度、患者的主观感受以及X线表现进行评定。
结果：12例均获随访，时间4～19个月，平均11个月。术后15～35 d,肩关节基本恢复至正常活动度，内固定未出现移动、脱出、断裂，未再次发生关节脱位。按Karlsson术后疗效评价标准，本组均达到A级。
结论：带袢钢板重建喙锁韧带方法简便迅速，术中复位简单、创伤小，术后能早期进行功能锻炼，是急性RockwoodⅢ型以上肩锁关节脱位理想的治疗方法。 |
| [关键词]:肩锁关节 脱位 内固定器 外科手术 |
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| Application of endobutton in the treatment of acute acromioclavicular joint dislocation |
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Abstract:
Objective: To study the clinical efficacy of the endobutton in the treatment of acute acromioclavicular joint dislocation by reconstructing coracoclavicular ligaments.
Methods: From October 2008 to January 2010,12 patients with acute acromioclavicular joint dislocation were immobilized with the endobutton. All the patients had the dislocations of or above type Ⅲ according to Rockwood classification. Among the patients,9 patients were male and 3 patients were female,with an average age of 55 years(ranged from 31 to 83 years). Eight patients had injuries in the left,and 4 patients in the right. Four patients had accompanied injuries of rib fractures,2 patients had brain injuries,and 1 patient had femoral fracture. Seven patients were injured by traffic accident,4 patients were injured by falling down,and 1 patient was sports injuries. All the patients had pain and tenderness at the shoulder,positive piano sign,and shoulder confined activity. The duration from injury to operation ranged from 2 days to 10 days(averaged 6 days). The therapeutic effects were evaluated by Karlsson criteria based on range of motion of acromioclavicular joint,subjective feeling,and postoperative X-ray.
Results: All the patients were followed up,and the duration ranged from 4 months to 19 months(averaged 11 months). The motion of the shoulder joint recovered to normal about 15 to 35 days after operation. There were no displacement,dislocation and redislocation occurred. All the patients got A degree results according to Karlsson criteria.
Conclusion: Reconstruction of coracoclavicular ligament by using the endobutton to treat acute acromioclavicular dislocation of or above type Ⅲ is a perfect method with advantage of rigid fixation,micro-injury,and early functional exercise. |
| KEYWORDS:Acromioclavicular joint Dislocations Internal fixators Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈芒芒,叶秀云,倪跃平,牟哲飞,黄力鹏.带袢钢板重建喙锁韧带治疗急性肩锁关节脱位[J].中国骨伤,2011,24(3):189~191 |
| 英文格式: | CHEN Mang-mang,YE Xiu-yun,NI Yue-ping,MOU Zhe-fei,HUANG Li-peng.Application of endobutton in the treatment of acute acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(3):189~191 |
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