蒙德鹏;欧阳跃平;张伟;刘岩;张竞;侯春林;苟三怀;

• 1:第二军医大学附属长征医院骨科

摘要(Abstract)：

[目的]探讨Tossy分类Ⅲ型的肩锁关节损伤手术治疗新方法。[方法]通过回顾性研究,对比两种方法治疗TossyⅢ型肩锁关节脱位患者共48例的疗效。病例按手术方法不同分两组:钛缆经喙突、锁骨固定组(25例),及钩钢板治疗组即对照组(23例);术中对所有病例均不过多的暴露和修复损伤的喙锁韧带。所有病例12~19个月后取出内植物,对所有患者的临床症状、体征和影像学表现进行随访,对结果进行统计学分析。[结果]平均随访时间为3.5年,钛缆经喙突、锁骨固定组:Constant-Murley评分平均(93.4±8.3)分,Karlsson评分优良率96%,并发症发生率4%;钩钢板固定组:Constant-Murley评分平均(88.1±9.5)分,Karlsson评分优良率87%,并发症发生率13%。经方差齐性检验和独立样本t检验,两组Constant-Murley评分有明显统计学差异,P<0.05。[结论]钛缆经喙突-锁骨固定技术是治疗肩锁关节脱位的一种符合生理学原理、简便和效果良好的方法。不过多的暴露和修复喙锁韧带对新鲜损伤病例愈合无明显影响却能减少损伤。

关键词(KeyWords)： 肩锁关节;脱位;损伤;钛缆;内固定

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 蒙德鹏;欧阳跃平;张伟;刘岩;张竞;侯春林;苟三怀;

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参考文献(References)：

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