CAJ | 학술논문

[目的]探讨定位器引导下双 Endobutton 技术治疗肩锁关节脱位的临床疗效。[方法]自2011年1月至2013年1月，应用定位器引导下双 Endobutton 技术治疗肩锁关节脱位患者28例。其中男15例，女13例；年龄20～51岁，中位数32岁。28例患者中13例为 Rockwood Ⅲ型，15例为 Rockwood Ⅳ型；手术时间在伤后2～5 d，中位数3 d；对患者进行跟踪随访评定疗效。[结果]随访时间4～14个月，中位数9个月。本组病例肩锁关节脱位全部复位，无再脱位及复位丢失。按照 Karlsson 标准评定患者术后的肩关节功能恢复情况：A 级22例，B 级6例。[结论]定位器引导下双 Endobutton 技术治疗肩锁关节脱位，创伤小、固定可靠，术后恢复良好，是治疗肩锁关节脱位的理想方法。
[목적]탐토정위기인도하쌍 Endobutton 기술치료견쇄관절탈위적림상료효。[방법]자2011년1월지2013년1월，응용정위기인도하쌍 Endobutton 기술치료견쇄관절탈위환자28례。기중남15례，녀13례；년령20～51세，중위수32세。28례환자중13례위 Rockwood Ⅲ형，15례위 Rockwood Ⅳ형；수술시간재상후2～5 d，중위수3 d；대환자진행근종수방평정료효。[결과]수방시간4～14개월，중위수9개월。본조병례견쇄관절탈위전부복위，무재탈위급복위주실。안조 Karlsson 표준평정환자술후적견관절공능회복정황：A 급22례，B 급6례。[결론]정위기인도하쌍 Endobutton 기술치료견쇄관절탈위，창상소、고정가고，술후회복량호，시치료견쇄관절탈위적이상방법。
[Objective]To explore the clinical efficacy of locator guided double Endobutton technology for the treatment of acromioclavicular joint dislocation.[Methods]A total of 28 patients with acromioclavicular joint dislocation were treated with locator guided double Endobutton technology from Jan.2011 to Jun.2013. All patients included 15 males and 13 females.Their age was 20~51 years old,and the median was 32 years old.Among 28 patients,13 patients were Rockwood Ⅲ type and 15 patients were Rockwood Ⅳ type.The op-eration time was 2~5 d after injury,and the median was 3d.All patients were followed up.The efficacy was assessed.[Results]The follow-up time was 6~14 months,and the median was 9 months.All patients in the group obtained the reduction of acromioclavicular joint dislocation.No one had redislocation and loss of reduc-tion.The assessment of the recovery of shoulder joint function in patients after operation by Karlsson standard showed that 22 patients were grade A and 6 patients were grade B.[Conclusion]Locator guided double En-dobutton technology for the treatment of acromioclavicular joint dislocation has small trauma,reliable fixation and good postoperative recovery,so it is an ideal treatment method of acromioclavicular joint dislocation.