肩关节镜下结合Endobutton袢钢板治疗肩锁关节脱位的疗效分析
Analysis of the efficacy of shoulder arthroscopic combined with Endobutton loop steel plate in the treatment of acromioclavicular dislocation
赵弟庆 1孙振彬 1梁淑芳1
作者信息
- 1. 菏泽市牡丹人民医院骨关节外科,山东菏泽 274000
- 折叠
摘要
目的 探讨在肩关节镜下结合Endobutton袢钢板治疗肩锁关节脱位的疗效.方法 回顾性分析我院2020年1月～2022年1月在肩关节镜下结合Endobutton袢钢板治疗肩锁关节脱位23例患者的病历资料.术中在肩关节镜下使用Endobutton袢钢板微创固定肩锁关节,并记录手术的时间及并发症的发生情况,比较手术前和术后1年Constant肩关节评分、视觉模拟评分法(VAS)评分以及肩关节前屈上举、外展上举、外旋活动度,评价肩关节功能恢复情况;比较术后2 d及1年在肩关节正位X线片上测量的喙锁间距离(Coracoclavicular distance,CCD),评估肩锁关节复位的丢失情况.结果 手术时间45～100 min,中位手术时间60 min.所有患者切口均Ⅰ期愈合,在为期1年的随访期间,3例患者出现关节粘连,经康复指导锻炼后功能恢复.术后1年VAS评分较术前降低,Constant肩关节评分提高,肩关节前屈上举、外展上举、外旋活动度增大,差异均有统计学意义(P＜0.05).X线片复查示,术后2 d及1年CCD分别为(8.52±1.48)mm、(9.23±1.47)mm,差异无统计学意义(P＞0.05).随访期间均未出现感染、骨折、再脱位、钛板陷入及内固定失效等并发症.结论 关节镜技术结合Endobutton袢钢板治疗肩锁关节脱位符合生物学固定原则,取得较好的疗效,是目前治疗肩锁关节脱位一种较佳的手术方法.
Abstract
Objective To investigate the efficacy of shoulder arthroscopic combined with Endobutton loop steel plate in the treatment of acromioclavicular dislocation.Methods The medical records of 23 patients with acromioclavicular dislocation treated by shoulder arthroscopic combined with Endobutton loop steel plate in our hospital from January 2020 to January 2022 were retrospectively analyzed.During the operation,Endobutton loop steel plate was used to minimally invasively fix the acromioclavicular joint under shoulder arthroscopic,and record the operation time and the occurrence of complications.The Constant shoulder joint score,visual analogue scale(VAS),and shoulder flexion uplift,abduction lift,and external rotation activity of the shoulder joint were compared before and 1 year after operation,and the recovery of shoulder joint function was evaluated.The coracoclavicular distance(CCD)measured on the anteroposterior X-ray films of the shoulder joint at 2 days and 1 year after operation was compared,and the loss of acromioclavicular joint reduction was evaluated.Results The operation time was 45～100 min,and the median operation time was 60 min.All patients had stage I healing incisions.During the 1-year follow-up period,3 patients developed joint adhesions,and their function recovered after rehabilitation guidance exercise.At 1 year after operation,the VAS score was lower than that before operation,the Constant shoulder score was increased,and the range of motion of shoulder flexion,abduction and external rotation was increased,the differences were statistically significant(P＜0.05).X-ray examination showed that the CCD was(8.52±1.48)mm and(9.23±1.47)mm at 2 days and 1 year after operation,respectively,and the difference was not statistically significant(P＞0.05).During the follow-up period,there were no complications such as infection,fracture,redislocation,titanium plate subsidence and internal fixation failure.Conclusion Arthroscopic technique combined with Endobutton loop steel plate in the treatment of acromioclavicular dislocation conforms to the principle of biological fixation and achieves good curative effect,which is currently a better method for the treatment of acromioclavicular dislocation.
关键词
关节镜技术/Endobutton/肩锁关节脱位Key words
Arthroscopic technique/Endobutton/Acromioclavicular dislocation引用本文复制引用
出版年
2024
NETL
NSTL
万方数据