| Triple-Endobutton钢板置入治疗Rochwood Ⅲ-Ⅴ型肩锁关节脱位 |
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Received:July 20, 2013
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| 期刊信息：《中国骨伤》2014年27卷，第1期，第61-63页 |
| DOI：10.3969/j.issn.1003-0034.2014.01.016 |
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目的：探讨Triple-Endobutton 钢板置入治疗Rochwood分型Ⅲ-Ⅴ型肩锁关节脱位的临床疗效。
方法：2008年3月至2010年6月，对28例Rochwood Ⅲ-Ⅴ型肩锁关节脱位的患者进行Triple-Endobutton 钢板置入治疗，男18例，女10例；年龄20～60岁，平均38岁；左侧20例，右侧8例；均为闭合性损伤。肩关节功能按Constant标准进行疗效分析。
结果：28例获随访，时间18～24个月，平均20个月。所有患者肩关节活动良好，未出现再脱位及疼痛等症状。X线检查肩锁关节均完全复位。肩关节功能按Constant标准，术前评分25.4±2.0，术后1个月65.9±3.0，术后3个月87.2±3.2，术后6个月95.7±1.6.
结论：利用Triple-Endobutton 钢板置入治疗Rochwood Ⅲ-Ⅴ型肩锁关节脱位固定牢靠，操作简单，并发症少，无须二次取出，术后可早期进行功能锻炼，疗效满意。 |
| [关键词]:肩锁关节 脱位 骨折固定术 |
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| Triple-Endobutton plates for the treatment of Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocation |
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Abstract:
Objective: To evaluate the clinical results of Triple-Endobutton plates for the treatment of Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocation.
Methods: From March 2008 to June 2010,28 patients with Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocations were treated with Triple-Endobutton plates. There were 18 males and 10 females,ranging in age from 20 to 60 years old（averaged 38 years old）. Twenty patients had dislocations in the left and 8 patients had dislocations in the right. All the patients had close injury. The Constant criterion was used to evaluate shoulder joint function.
Results: All the patients were followed up,and the duration ranged from 18 to 24 months,with an average of 20 months. All the patients got good shoulder joint function,and no re-dislocation and pain occurred. The X-ray showed all acromioclavicular joints got good reduction. According to Constant criterion,preoperative score was 25.4±2.0,postoperative scores were 65.9±3.0,87.2±3.2 and 95.7±1.6 at 1 month,3 months and 6 months separately.
Conclusion: Treatment of Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocation with Triple-Endobutton plates has satisfactory clinical outcome,simple operation,few complications,without secondary operation and early functional exercise postoperatively. |
| KEYWORDS:Acromioclavicular joint Dislocations Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 尹吉恒.Triple-Endobutton钢板置入治疗Rochwood Ⅲ-Ⅴ型肩锁关节脱位[J].中国骨伤,2014,27(1):61~63 |
| 英文格式: | YIN Ji-heng.Triple-Endobutton plates for the treatment of Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(1):61~63 |
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