刘伯龄;张森;吴建军;陈其勇;谢丹;梁珪清;

• 1:福建省福州市第二医院骨科

摘要(Abstract)：

[目的]观察钛缆结合钛网板与锁骨钩钢板治疗完全性肩锁关节脱位临床疗效。[方法]RockwoodⅢ型肩锁关节脱位48例,均为新鲜脱位。男36例,女12例,年龄19~56岁,平均35.4岁,采用钛缆结合钛网板治疗22例,采用锁骨钩钢板治疗26例,所有患者均作喙锁韧带修补。[结果]所有患者均获随访,随访时间12~35个月,平均16.6个月。按照Karlsson标准对术后肩关节功能进行评定。钩钢板组优18例,良5例,差3例,治疗优良率88.46%;钛缆结合钛网板组优17例,良4例,差1例,治疗优良率95.45%,与钩钢板组无显著差异。[结论]钛缆结合钛网板治疗完全性肩锁关节脱位的效果与锁骨钩钢板相当,且具有术后肩痛发生率低、利于早期功能锻炼的优点,此外钛缆生物相容性佳,可在体内长期存留而不必取出。

关键词(KeyWords)： 钛缆;锁骨钩钢板;肩锁关节脱位

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 刘伯龄;张森;吴建军;陈其勇;谢丹;梁珪清;

Email:

DOI:

参考文献(References)：

• [1]Karlsson J,Arnarson H,Sigurjonsson K.Acromioclavicular dislocationtreated by coracoacromio ligament transfer[J].Arch Orthop TraumaSurg,1986,1:8-11.
• [2]Esenyel CZ,Oztrk K,Blbl M,et al.Coracoclavicular ligament re-pair and screw fixation in acromioclavicular dislocations[J].Acta Or-thop Traumatol Turc,2010,3:194-198.
• [3]Yoo JC,Ahn JH,Yoon JR.Clinical results of single-tunnel coracocla-vicular ligament construction using autogenous semitendinosus tendon[J].Am J Sports Med,2010,5:950-957.
• [4]王旭,韵向东,夏亚一,等.联合应用AO钩状钢板和可吸收缝线治疗Ⅲ型肩锁关节脱位[J].中国矫形外科杂志,2009,8:637-638.
• [5]Nadarajah R,Mahaluxmivala J,Amin A,et al.Clavicular hook-plate:complications of retaining the implant[J].Injury,2005,9:681-683.
• [6]Shahzad NC,Mohammad W.Letter to the editor:clavicular hook plate:complications of retaining the implant[J].Injury,2006,7:665-676.
• [7]徐瑞生,王立邦,丁涛,等.Atlas钛缆固定上颈椎的解剖与临床[J].中国矫形外科杂志,2005,5:32-34.
• [8]Henkel T,Oetiker R,Hackenbruch W.Treatment of fresh TossyⅢacro-mioclavicular joint dislocation by ligament suture and temporary fixationwith the clavicular hooked plate[J].Swiss Surg,1997,1:160-166.
• [9]Ladermann A,Grosclaude M,Lbbeke A,et al.Acromioclavicular andcoracoclavicular cerclage reconstruction for acute acromioclavicularjoint dislocations[J].J Shoulder Elbow Surg,2010,9:30.