首页|TightRope带襻钢板与Endobutton钢板治疗肩锁关节脱位的疗效比较

TightRope带襻钢板与Endobutton钢板治疗肩锁关节脱位的疗效比较

扫码查看
目的 比较TightRope带襻钢板与Endobutton钢板在治疗肩锁关节脱位中的疗效。方法 回顾性分析 2021年3 月~2023 年2 月常州市第二人民医院创伤中心94 例肩锁关节脱位的临床资料,根据时间段分为2 组,2021 年3 月~2022年2 月采用Endobutton钢板治疗(E组,n =47),2022 年3 月~2023 年2 月采用TightRope带襻钢板治疗(T组,n =47),末次随访比较2 组围术期指标、疼痛视觉模拟评分(Visual Analogue Scale,VAS)、Constant-Murley肩关节功能评分及手术并发症发生率。结果 T组手术时间、术中出血量、切口长度及术后7dVAS评分明显短于/低于E组(P<0。05)。2 组神经损伤、内固定移位、锁骨骨折、血管损伤及感染发生率无统计差异(χ2 =1。389,P =0。239)。2 组术后 9 个月肩关节功能主客观评分与术前比较均得到明显改善(均 P =0。000);术后 9 个月肩关节功能主客观评分 2 组比较差异无显著性(P>0。05)。结论 TightRope带襻钢板和Endobutton钢板治疗肩锁关节脱位均效果显著,可有效改善患者肩关节功能。与Endobutton钢板比较,TightRope带襻钢板手术创伤更小,出血更少,明显减轻术后疼痛,更有利于患者早期功能锻炼。
Comparison of Therapeutic Effects Between Tightrope Loop Plate and Endobutton Plate in the Treatment of Acromioclavicular Joint Dislocation
Objective To compare the efficacy of TightRope loop plate and Endobutton plate in the treatment of acromioclavicular joint dislocation.Methods A retrospective analysis was conducted on 94 patients with acromioclavicular joint dislocation who were treated at this center from March 2021 to February 2023.They were divided into two groups based on different admission date.The Group E(n =47)received Endobutton plate treatment between March 2021 and February 2022,while the Group T(n =47)received TightRope loop plate treatment between March 2022 and February 2023.At the last follow-up,the perioperative indicators,Visual Analogue Scale(VAS),Constant-Murley shoulder joint function scores,and surgical complications were compared between the two groups.Results The surgical time,intraoperative bleeding,incision length,and VAS scores at 7 days after surgery in the Group T were shorter or lower than those in the Group E(P<0.05).There were no statistical differences in the incidence of perioperative nerve injury,internal fixation displacement,clavicle fracture,vascular injury,and infection between the two groups(P>0.05).The subjective and objective scores of Constant-Murley shoulder joint function in both groups at9 months after surgery showed significant improvement compared to preoperative scores(all P =0.000).There was no significant difference in the subjective and objective scores of Constant-Murley shoulder joint function between the two groups at 9 months after surgery(P>0.05).Conclusions The treatment of acromioclavicular joint dislocation with TightRope loop plate ot or Endobutton plate has a significant effect and can effectively improve shoulder joint function.Compared with Endobutton plate,use of TightRope loop plate has minor surgical trauma,less bleeding,and significantly reduced postoperative pain,being more conducive to early functional exercise for patients.

TightRope loop plateEndobutton plateAcromioclavicular joint dislocation

宁明亮、吴昊、汪亮、杨亚东、李小林、俞明晨、王忍

展开 >

常州市第七人民医院骨科,常州 213003

常州市第二人民医院创伤中心,常州 213003

TightRope带襻钢板 Endobutton钢板 肩锁关节脱位

常州市卫健委重大项目

ZD202126

2024

中国微创外科杂志
北京大学

中国微创外科杂志

CSTPCD北大核心
影响因子:2.21
ISSN:1009-6604
年,卷(期):2024.24(3)
  • 21