| Triple-Endobutton技术治疗TossyⅢ型肩锁关节脱位 |
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Received:December 24, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 孙辽军 |
SUN Liao-jun |
温州医科大学附属第二医院, 浙江 温州 325027 |
Department of Orthopaedics, the 2nd Hospital Affiliated to Wenzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 卢迪 |
LU Di |
温州医科大学附属第二医院, 浙江 温州 325027 |
Department of Orthopaedics, the 2nd Hospital Affiliated to Wenzhou Medical College, Wenzhou 325027, Zhejiang, China |
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| 陈华 |
CHEN Hua |
温州医科大学附属第二医院, 浙江 温州 325027 |
Department of Orthopaedics, the 2nd Hospital Affiliated to Wenzhou Medical College, Wenzhou 325027, Zhejiang, China |
chenhuayishi@163.com |
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| 期刊信息：《中国骨伤》2015年28卷，第6期，第496-499页 |
| DOI：10.3969/j.issn.1003-0034.2015.06.003 |
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目的:分析Triple-Endobutton技术治疗TossyⅢ型肩锁关节脱位的临床疗效及并发症。
方法:2011年1月至2013年1月, 采用Triple-Endobutton技术重建喙锁韧带治疗TossyⅢ型肩锁关节脱位45例, 其中男35例, 女10例;年龄19～60岁, 平均30.5岁。末次随访时采用VAS、DASH及Constant-Murley评分评估治疗效果。
结果:所有患者获随访, 时间15～36个月, 平均25.1个月。术后无血管、神经损伤, 切口感染及应力性骨折等并发症发生, 但3例术后发生复位丢失。末次随访时VAS评分(0.2±0.1)较术前(5.7±1.6)降低; DASH评分(0.3±0.1)较术前(19.6±4.3)降低;Constant-Murley评分(94.8±3.5)较术前(34.4±4.3)提高。
结论:采用Triple-Endobutton技术治疗肩锁关节脱位疗效满意, 但复位丢失仍是其最常见的并发症, 细致的围手术期处理是防止复位丢失的重要因素。 |
| [关键词]:肩锁关节 脱位 治疗效果 外科手术 |
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| Triple-Endobutton technique for the treatment of Tossy type Ⅲ acromioclavicular joint dislocation |
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Abstract:
Objective:To evaluate the clinical outcomes and complications of Triple-Endobutton plates in treating Tossy typeⅢ acromioclavicular joint dislocation.
Methods:From January 2011 to January 2013, 45 patients with Tossy typeⅢ acromioclavicular joint dislocation were treated with Triple-Endobutton plates. There were 35 males and 10 females with an average age of 30.5 (ranged from 19 to 60) years old. At the final follow-up, VAS, DASH, Constant-Murley criterion were used to evaluate shoulder function.
Results:All patients were followed up from 15 to 36 months. No neurovascular injury, wound infection and stress fractures were found, but 3 patients had a re-dislocation. At the final follow-up, the mean VAS score was decreased from(5.7±1.6) preoperatively to postoperative(0.2±0.1); DASH score was significantly decreased from(19.6±4.3) preoperatively to (0.3±0.1) postoperatively;Constant-Murley score was improved from (34.4±4.3) before operation to (94.8±3.5) after operation.
Conclusion:Clinical outcomes of treating Tossy typeⅢ acromioclavicular joint dislocation with Triple-Endobutton plates is satisfactory. However, re-dislocation is still the most common complication. Careful perioperative management is an important factor in preventing re-dislocation. |
| KEYWORDS:Acromioclavicular joint Dislocations Treatment outcomes Surgical procedure,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: | 孙辽军,卢迪,陈华.Triple-Endobutton技术治疗TossyⅢ型肩锁关节脱位[J].中国骨伤,2015,28(6):496~499 |
| 英文格式: | SUN Liao-jun,LU Di,CHEN Hua.Triple-Endobutton technique for the treatment of Tossy type Ⅲ acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(6):496~499 |
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