首页|两种钢板内固定治疗肩锁关节脱位的疗效比较

两种钢板内固定治疗肩锁关节脱位的疗效比较

Efficacy comparison of two kinds of plates internal fixation for treatment of acromioclavicu-lar dislocation

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目的 比较带袢钢板与锁骨钩钢板内固定治疗肩锁关节脱位的疗效.方法 将60例肩锁关节脱位患者按照内固定方式不同分为带袢钢板组(采用带袢钢板内固定治疗,30例)和锁骨钩钢板组(采用锁骨钩钢板内固定治疗,30例).比较两组肩关节活动度、疼痛VAS评分、术后并发症发生情况.采用肩关节Constant-Murley评分评价临床疗效.结果 患者均获得随访,时间12~15(13.16±0.98)个月.肩关节外展上举、前屈上举、外旋、内旋活动度:术后1个月带袢钢板组均大于锁骨钩钢板组(P<0.01);术后12个月两组比较差异均无统计学意义(P>0.05).术后1、12个月疼痛VAS评分及Constant-Murley评分:带袢钢板组均优于锁骨钩钢板组(P<0.01).术后并发症发生率带袢钢板组低于锁骨钩钢板组(P<0.05).结论 与锁骨钩钢板相比,采用带袢钢板内固定治疗肩锁关节脱位具有患者肩关节功能恢复好、术后并发症少的优势.
Objective To compare the therapeutic effects of internal fixation with loop plate and clavicular hook plate for treatment of acromioclavicular dislocation.Methods The 60 patients with acromioclavicular dislocation were di-vided into the loop plate group(treated with loop plate internal fixation,30 cases)and the clavicular hook plate group(treated with clavicular hook plate internal fixation,30 cases)based on different internal fixation methods.The shoul-der joint mobility,pain VAS and occurrence of complications were compared between the two groups.The clinical effi-cacy was evaluated by using Constant-Murley score of the shoulder joint.Results All patients were followed up for 12~15(13.16±0.98)months.The shoulder joint activity ranges of abduction,anterior flexion,external rotation,and internal rotation:at 1 month postoperatively,they were all greater in loop plate group than those in the clavicular hook plate group(P<0.01);however,there were no statistical differences between the two groups at 12 months postopera-tively(P>0.05).The pain VAS and Constant-Murley score:at 1,12 months postoperatively,the loop plate group were better than those of the clavicular hook plate group(P<0.01).The incidence rate of postoperative complications in the loop plate group was lower than that in the clavicular hook plate group(P<0.05).Conclusions Compared with clavicular hook plate internal fixation,loop plate internal fixation in the treatment of acromioclavicular dislocation has the advantages of better recovery of shoulder joint function and fewer postoperative complications.

acromioclavicular dislocationclavicular hook plateloop plate

张晨、胡杰、钱诚、汤家崔、范燕琴

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海盐县人民医院骨科,浙江嘉兴 314300

肩锁关节脱位 锁骨钩钢板 带袢钢板

浙江省嘉兴市海盐县人民医院科学研究基金课题

2021-YJ-06A

2024

临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

CSTPCD
影响因子:1.438
ISSN:1008-0287
年,卷(期):2024.27(3)
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