带袢钢板联合带线锚钉治疗肩锁关节脱位
Looped plate combined with suture anchor in the treatment of acromioclavicular joint dislo-cation
朱卫 1徐晓峰 1陈叶新1
作者信息
- 1. 常熟市支塘人民医院骨科,江苏 常熟 215531
- 折叠
摘要
目的 探讨带袢钢板联合带线锚钉治疗肩锁关节脱位的疗效.方法 采用带袢钢板联合带线锚钉治疗23 例肩锁关节脱位患者.记录并发症发生情况、疼痛VAS评分、Constant评分、肩关节活动度.结果 患者均获得随访,时间13～26 个月.术后无麻木等神经损伤表现,无应力性骨折等并发症发生;2 例肩关节上举时有轻微疼痛感并活动稍受限,1 例因过早锻炼内固定略脱出,均因对肩关节功能影响不大,未做特殊处理.疼痛VAS评分、Constant评分、肩关节活动度:术后6 周及3、12 个月均优于术前(P＜0.05);术后随时间推移均越来越优,差异均有统计学意义(P＜0.05).末次随访时,患者肩关节无明显疼痛,已恢复正常生活;采用Constant评分评价肩关节功能:优16 例,良5 例,可2 例,优良率21/23.结论 带袢钢板联合带线锚钉治疗肩锁关节脱位,具有术后活动影响小、内固定无需取出、肩关节活动度恢复好的优点.
Abstract
Objective To investigate the efficacy of looped plate combined with suture anchor in the treatment of acro-mioclavicular joint dislocation.Methods The 23 patients with acromioclavicular joint dislocation were treated with looped plate combined with suture anchor.The occurrence of complications,pain VAS,Constant score,and shoulder joint activity were recorded.Results All patients were followed up for 13～26 months.There were no signs of numb-ness or nerve damage after surgery,and no complications such as stress fractures occurred;two cases experienced slight pain and limited mobility when lifting the shoulder joint,while one case experienced slight detachment of the in-ternal fixation due to premature exercise,these cases were not performed with special treatment due to their minimal impact on shoulder joint function.Pain VAS,Constant score and shoulder joint range of motion:they were all better than preoperation at 6 weeks and 3 and 12 months after surgery(P＜0.05);the postoperative outcomes got better over time,and the differences had statistical significance(P＜0.05).At the last follow-up,the patients had no obvious pain in the shoulder joint and returned to normal life.The Constant score was used to evaluate shoulder joint function:ex-cellent in 16 cases,good in5,fair in2,with an excellent-good rate of 21/23.Conclusions The treatment of acromi-oclavicular joint dislocation with looped plate combined with suture anchor has the advantages of little postoperative activity impact,no need to remove internal fixation,and good recovery of shoulder joint activity.
关键词
带袢钢板/带线锚钉/肩锁关节脱位Key words
loop plate/suture anchor/acromioclavicular joint dislocation引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据