Analysis of the therapeutic effect of reconstructing the coracoclavicular ligament with a loop steel plate for the treatment of acromioclavicular joint dislocation
Aim To explore the therapeutic effect of reconstructing the coracoclavicular ligament with a loop steel plate for the treatment of acromioclavicular joint dislocation.Methods 52 patients with acromioclavicular dislocation were retrospectively selected and divided into control group(clavicular hook plate fixation treatment)with 26 cases and study group(loop plate fixation treatment)with 26 cases according to different surgical methods.The range of motion of shoulder joint,distance of acromioclavicular joint space and coracoclavicular joint,shoulder joint function and pain,complications,postoperative good and good rate,were com-pared between the two groups.Results Compared with the sitution pre-operation,shoulder joint motion(internal rotation,exter-nal rotation and abduction)of both groups increased 6 months after operation,and the study group was greater than the control group(P＜0.05).Compared with the sitution pre-operation,the distance of acromioclavicular joint space and coracoclavicular space be-tween the two groups decreased after surgery,and the study group was smaller than the control group one year after surgery(P＜0.05).Compared with the sitution pre-operation,CMS score increased and NRS score decreased in both groups after operation.At 6 months and 1 year after surgery,the CMS score of the study group was higher than that of the control group,and the NRS score of the study group was lower than that of the control group at 6 months after surgery(P＜0.05).The complication rate of the study group was low-er than that of the control group(P＜0.05).There was no significant difference in the excellent rate between the two groups(P＜0.05).Conclusion The operation of using a loop steel plate to reconstruct the coracoclavicular ligament has the benefit to im-prove acromioclavicular stability in patients with acromioclavicular dislocation,and can increase shoulder joint rang of motion,promote the recovery of shoulder joint function,and reduce complication risk.
loop steel platereconstruction of the coracoclavicular ligamentacromioclavicular joint dislocationacromio-clavicular joint range of motioncomplications
万方数据
维普
