TightRope与钩钢板治疗急性肩锁关节脱位的对比TightRope system versus clavicular hook plate for acute acromioclavicular dislocation
黄超;林木良;李桓毅;许福生;
摘要(Abstract):
[目的]比较TightRope系统与钩钢板治疗RockwoodⅢ型肩锁关节脱位的疗效。[方法] 2014年6月~2015年11月,采用TightRope系统治疗RockwoodⅢ型肩锁关节脱位32例,2008年10月~2010年3月采用钩钢板治疗32例,比较两组患者围手术期资料与随访结果。[结果]两组患者均顺利手术,未发生血管、神经损伤等严重并发症。两组在切口长度、手术时间、术中失血量的差异无统计学意义(P>0.05)。所有患者随访12~26个月,平均(18.23±2.48)个月。术后12个月时,TightRope组的Constant评分疼痛亚评分[(14.38±1.68) vs (10.94±2.35),P<0.05],外展活动亚评分[(9.38±0.94) vs (8.81±1.23),P<0.05],以及总分[(94.31±6.06) vs (89.84±7.31),P<0.05]均显著高于钩板组,两组间差异有统计学意义(P<0.05)。[结论] TightRope系统治疗RockwoodⅢ型肩锁关节脱位的疗效优于AO锁骨钩钢板。
关键词(KeyWords): 肩锁关节脱位;手术治疗;TightRope系统;锁骨钩钢板
基金项目(Foundation):
作者(Author): 黄超;林木良;李桓毅;许福生;
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DOI:
参考文献(References):
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