CAJ | 학술논문

目的初步评价喙突螺钉固定技术治疗肩锁关节脱位的临床效果.方法自2004年1月至2006年11月,对20例Rockwood分型Ⅲ度以上肩锁关节脱位患者均采用喙突螺钉固定,其中Ⅲ度2例,Ⅳ度2例,Ⅴ度16例.男14例,女6例;左侧11例,右侧9例;平均年龄46.6岁.术后患者均采用颈腕吊带固定6周,第2周开始被动活动,第6周逐渐开始主动活动.结果 20例患者术后获6个月～2年(平均10.1个月)随访.术后采用Constant评分:优9例,良7例,可4例,优良率为80%.3例患者出现螺钉脱出,采用保守治疗,3个月后取出螺钉.1例患者进行再手术更换螺钉固定.1例患者出现外展疼痛,给予非甾体类约物治疗.结论采用喙突螺钉固定技术治疗Rockwood肩锁关节Ⅲ度以上脱位,临床效果良好.
목적 초보평개훼돌라정고정기술치료견쇄관절탈위적림상효과.방법 자2004년1월지2006년11월,대20례Rockwood분형Ⅲ도이상견쇄관절탈위환자균채용훼돌라정고정,기중Ⅲ도2례,Ⅳ도2례,Ⅴ도16례.남14례,녀6례;좌측11례,우측9례;평균년령46.6세.술후환자균채용경완조대고정6주,제2주개시피동활동,제6주축점개시주동활동.결과 20례환자술후획6개월～2년(평균10.1개월)수방.술후채용Constant평분:우9례,량7례,가4례,우량솔위80%.3례환자출현라정탈출,채용보수치료,3개월후취출라정.1례환자진행재수술경환라정고정.1례환자출현외전동통,급여비치체류약물치료.결론 채용훼돌라정고정기술치료Rockwood견쇄관절Ⅲ도이상탈위,림상효과량호.
Objective To evaluate the treatment results of coracoid process screws for acromioclavicular dislocation. Methods From January 2004 to November 2006, 20 eases of acromioclavicular dislocation were treated with coracoid process screws. Their Rockwood typing ranged from Ⅲ to V. They were 14 males and 6 females. Follow-ups began 2 weeks after operation, and then were conducted every 2 months. All the patients were fixed for 6 weeks with bandage. Passive motion started at the 2nd week and active motion at the 6th week. Results On average, patients were followed up for 10.1 (6 to 24) months. By Constant system, 9 cases were excellent, 7 eases were good and 4 cases were fair. The good to exeeUent rate averaged 80%. Loosened screws were found in 3 cases and taken out 3 months after conservative treatment. One of them had to receive re-operation and one took non-steroidal anti-inflammatory drags for shoulder abduction pain. At the ]atest follow-up, 4 patients experienced pain and motion limitation. Conclusion Coracoid process screws can achieve a satis- factory result in treatment of aeromioelavieular dislocations (Rockwood types Ⅲ to Ⅴ), but attention should be paid to the possible failures.