Comparison of the Effect of Two Internal Fixation Methods in the Treatment of Acute Acromioclavicular Dislocation
Objective:To compare the clinical effect of triple-endobutton and clavicular hook plate internal fixation in the treatment of acute acromioclavicular dislocation.Method:Sixty patients with acute acromioclavicular joint dislocation admitted to Foshan Hospital of Traditional Chinese Medicine from January 2022 to June 2023 were selected and divided into endobutton group (30 cases) and clavicular hook plate group (30 cases) according to treatment methods,and underwent internal fixation with triple-endobutton and clavicular hook plate,respectively.The visual analogue scale (VAS) score and Constant-Murley shoulder joint function score were compared between the two groups at 1 month,3 and 6 months after surgery,and the operation duration,intraoperative blood loss,hospitalization days and the number of fixed removal cases in the second stage were compared between the two groups.Result:Postoperative X-rays showed good reduction of acromioclavicular joint in both groups.At 1 month,3 and 6 months after surgery,the VAS scores of the endobutton group were lower than those of the clavicular hook plate group,while the Constant-Murley scores of the endobutton group were higher than those of the clavicular hook plate group,with significant differences (P<0.05).There were statistically significant differences in the duration of operation and the rate of fixed removal cases in the second stage between the two groups (P<0.05),while there were no statistically significant differences in the amount of intraoperative blood loss and the number of days in hospital between the two groups (P>0.05).Conclusion:For the treatment of acute acromioclavicular dislocation,whether it is triple-endobutton or clavicular hook plate internal fixation,it can achieve satisfactory reduction effect.The three-endobutton internal fixation does not invade the subacromial space,avoids acromial impingement and postoperative shoulder pain,better shoulder joint function recovery,no need to take out the internal fixation twice,and better short-term efficacy.
万方数据
维普
