| 双Endobutton钢板重建喙锁韧带联合Ⅰ期肩锁韧带修复治疗Ⅲ度以上肩锁关节脱位 |
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Received:December 21, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 胡文跃 |
HU Wen-yue |
杭州市萧山中医院, 浙江 杭州 311201 |
Xiaoshan Hospital of TCM, Hangzhou 311201, Zhejiang, Chin |
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| 俞冲 |
YU Chong |
杭州市萧山中医院, 浙江 杭州 311201 |
Xiaoshan Hospital of TCM, Hangzhou 311201, Zhejiang, Chin |
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| 黄忠名 |
HUANG Zhong-ming |
杭州市萧山中医院, 浙江 杭州 311201 |
Xiaoshan Hospital of TCM, Hangzhou 311201, Zhejiang, Chin |
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| 韩雷 |
HAN Lei |
杭州市萧山中医院, 浙江 杭州 311201 |
Xiaoshan Hospital of TCM, Hangzhou 311201, Zhejiang, Chin |
hallen505@163.com |
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| 期刊信息：《中国骨伤》2015年28卷，第6期，第500-503页 |
| DOI：10.3969/j.issn.1003-0034.2015.06.004 |
| 基金项目:杭州市医疗卫生科研资助项目(编号:20130633B48) |
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目的:探讨双Endobutton钢板联合Ⅰ期肩锁韧带修复治疗Ⅲ度以上肩锁关节脱位的临床疗效。
方法:自2010年1月至2013年9月, 手术治疗56例RockwoodⅢ度以上肩锁关节脱位的患者, 其中男20例, 女36例;年龄32～52岁, 平均38.5岁;左侧25例, 右侧31例;受伤至手术时间3～14 d,平均7 d.术前均诊断为肩锁关节脱位(RockwoodⅢ度以上),手术采用双Endobutton钢板进行喙锁韧带重建, 同时行带线金属骨锚钉修复肩锁韧带。观察患者术后并发症情况, 并采用Karlsson评定标准及Constant-Murley评分进行肩关节功能评定。
结果:所有患者获得随访, 时间8～24个月, 平均11个月。术后6个月随访时根据Karlsson评定标准A级42例, B级13例, C级1例。Constant-Murley肩关节功能总分由术前的(42.80±5.43)分提高至术后6个月的(91.75±4.27)分。术后6个月各项评分均优于术前(P<0.05),其中优48例, 良7例, 差1例。所有患者随访期间均未出现肩关节粘连, 钢板螺钉松动、断裂。
结论:双Endobutton钢板重建喙锁韧带联合Ⅰ期肩锁韧带修复治疗Ⅲ度以上肩锁关节脱位早期临床疗效满意, 有利于肩关节功能早期恢复。 |
| [关键词]:肩锁关节 脱位 韧带 修复外科手术 |
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| Double Endobutto reconstituting coracoclavicular ligament combined with repairing acromioclavicular ligament at stage Ⅰ for the treatment of acromioclavicular dislocation with Rockwood type Ⅲ-Ⅴ |
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Abstract:
Objective:To explore clinical efficacy of double Endobutto reconstituting coracoclavicular ligament combined with repairing acromioclavicular ligament in stageⅠin treating acromioclavicular dislocation with Rockwood typeⅢ-Ⅴ。
Methods:From January 2010 to September 2013, 56 patients with Rockwood typeⅢ-Ⅴ acromioclavicular dislocation were treated by operation, including 20 males and 36 femlaes, aged from 32 to 52 years old with an average of 38.5 years old. Twenty-five patients were on the left side and 31 cases on the right side. The time from injury to operation was from 3 to 14 days, averaged 7 days. All patients were diagnosed as acromioclavicular dislocation with Rockwood typeⅢ-Ⅴ, and double Endobutto were used to reconstituting coracoclavicular ligament, line metal anchors were applied for repairing acromioclavicular ligament. Postoperative complications were observed, Karlsson and Constant-Murley evaluation standard were used to evaluate clinical effects.
Results:All patients were followed up from 8 to 24 months with average of 11 months. According to Karlsson evaluation standard at 6 months after operation, 42 cases were grade A, 13 were grade B and 1 was grade C. Constant-Murley score were improved from (42.80±5.43) before operation to (91.75±4.27) at 6 months after operation. All items at 6 months after operation were better than that of preoperative items. Forty-eight patients got excellent results, 7 were moderate and only 1 with bad result. No shoulder joint adhesion, screw loosening or breakage were occurred during following up.
Conclusion:Double Endobutto reconstituting coracoclavicular ligament combined with repairing acromioclavicular ligament in stageⅠfor the treatment of acromioclavicular dislocation with Rockwood typeⅢ-Ⅴ could obtain early staisfied clinical effects, and benefit for early recovery of shoulder joint function. |
| KEYWORDS:Acromioclavicular joint Dislocations Ligaments Reconstructive surgical procedures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 胡文跃,俞冲,黄忠名,韩雷.双Endobutton钢板重建喙锁韧带联合Ⅰ期肩锁韧带修复治疗Ⅲ度以上肩锁关节脱位[J].中国骨伤,2015,28(6):500~503 |
| 英文格式: | HU Wen-yue,YU Chong,HUANG Zhong-ming,HAN Lei.Double Endobutto reconstituting coracoclavicular ligament combined with repairing acromioclavicular ligament at stage Ⅰ for the treatment of acromioclavicular dislocation with Rockwood type Ⅲ-Ⅴ[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(6):500~503 |
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