关节镜辅助下袢钢板治疗Rockwood Ⅲ型肩锁关节脱位的临床疗效观察
赵加松;扶世杰;汪国友;沈骅睿;曾胜强;
摘要(Abstract):
[目的]探讨关节镜辅助下袢钢板治疗RockwoodⅢ型肩锁关节脱位的临床疗效。[方法]回顾分析本科2010年1月~2013年6月收治的RockwoodⅢ型急性肩锁关节脱位的患者32例,男20例,女12例;年龄22~56岁,平均(37.7±1.6)岁;左侧15例,右侧17例。在关节镜辅助下行闭合复位袢钢板固定术,分析其手术情况(手术时间、术中出血量)及随访治疗效果。[结果]32例均顺利完成手术,手术时间65~110 min,平均(84+2.2)min;术中出血量50~85 ml,平均(68.1+1.9)ml;术后第2 d复查X线片示肩锁关节完全复位,32例均获随访,术后1年复查X线片,均无袢钢板松动、断裂及脱出,肩锁关节无脱位、疼痛及活动障碍等并发症,术后1年按照Constant-Murley评分评定疗效,优25例,良5例,一般2例,优良率93.7%。[结论]关节镜辅助下袢钢板治疗RockwoodⅢ型肩锁关节脱位手术时间短、出血少、创伤小、功能康复快,临床疗效满意。
关键词(KeyWords): 关节镜;肩锁关节;脱位;袢钢板
基金项目(Foundation):
作者(Author): 赵加松;扶世杰;汪国友;沈骅睿;曾胜强;
Email:
DOI:
参考文献(References):
- [1]诸力,杨贺杰,赵万军,等.Endobutton接钢板和锁骨钩钢板治疗新鲜肩锁关节脱位的病例对照研究[J].中国骨伤,2012,25(2):120.
- [2]Larsen E,Bjerg-Nielsen A,Christensen P.Conservative or surgical treatment of acromioclavicular dislocation.A prospective controlled,randomized study[J].J Bone Joint Surg Am,1986,68(4):552-555.
- [3]Beitzel K,Cote MP,Apostolakos J,et al.Current concepts in the treatment of acromioclavicular joint dislocations[J].Arthroseopy,2013,29(2):387-397.
- [4]Korsten K,Gunning AC,Leenen LP.Operative or conservative treatment in patients with Rockwood typeⅢacromioclavicular dislocation:a systematic review and update of current literature[J].Int Orthop,2014,38(4):831-838.
- [5]Takase K,Yamamoto K.Changes in surgical procedures for acromio-clavicular joint dislocation over the past 30 years[J].Orthopedics,2013,36(10):1277-1282.
- [6]吕功友,严征.Endobutton接骨板治疗TossyⅢ型肩锁关节脱位28例临床疗效分析[J].中华解剖与临床杂志,2014,19(3):250-252.
- [7]Constant CR,Murley AH.A clinical method of functional assessment of the shoulder[J].Clin Orthop,1987,214:160-164.
- [8]Rockwood CA,Williams GR,Young DC.Disorders of the acromioclavicular joint[M]∥Rockwood CA,Matsen FA.The shoulder.2 nd ed.Philadephia:WB Saunders,1998:483-553.
- [9]Simovitch R,Sanders B,Ozbaydar M,et al.Acromioclavicular joint injuries:diagnosis and management[J].J Am Acad Orthop Surg,2009,17(4):207-219.
- [10]Bannister GC,Wallace WA,Stableforth PG,et al.The management of acute acromioclavicular dislocation:a randomised prospective controlled trial[J].J Bone Joint Surg Br,1989,71:848-850.
- [11]王磊,王新,周路刚,等.骨钩钢板治疗肩锁关节脱位术后并发症的探讨[J].中国骨与关节损伤杂志,2010,25(7):652-653.
- [12]胡敏,唐浩然,刘庆,等.Endobutton带袢钢板内固定治疗RockwoodⅢ型肩锁关节脱位[J].中国骨与关节损伤杂志,2010,25(10):900-901.
- [13]闫楷忠,沈伟中,杨桢榕.带袢钢板重建喙锁韧带治疗肩锁关节脱位的疗效分析[J].中国骨与关节损伤杂志,2010,25(11):1019-1020.
- [14]Spencer EE Jr.Treatment of gradeⅢacromioclavicular joint injuries:a systematic review[J].Clin Orthop,2007,455:38-44.
- [15]颜瑞健,陆建伟,张春.改良双Endobutton技术治疗TossyⅢ型肩锁关节脱位的远期疗效分析[J].中国骨伤,2014,27(1):9-12.