CAJ | 학술논문

目的：探讨纽扣钢板内固定治疗肩锁关节脱位疗效。方法：采用改良纽扣钢板内固定治疗 Rockwood Ⅲ、Ⅳ、Ⅴ型肩锁关节脱位31例，根据Constant-Murley法评定肩关节功能。结果：31例患者均获随访，随访时间8~26个月，患肩关节在术前评分为(30.2±6.3)分，术后第1周、1、3、6个月评分分别为(86.3±6.3)分、(93.2±3.5)分、(95.2±3.1)分和(95.4±3.7)分，与术前评分差异均有统计学意义(P<0.01)。结论：应用改良纽扣钢板技术治疗肩锁关节脱位效果良好，是治疗肩锁关节脱位较为理想的方法之一。
목적：탐토뉴구강판내고정치료견쇄관절탈위료효。방법：채용개량뉴구강판내고정치료 Rockwood Ⅲ、Ⅳ、Ⅴ형견쇄관절탈위31례，근거Constant-Murley법평정견관절공능。결과：31례환자균획수방，수방시간8~26개월，환견관절재술전평분위(30.2±6.3)분，술후제1주、1、3、6개월평분분별위(86.3±6.3)분、(93.2±3.5)분、(95.2±3.1)분화(95.4±3.7)분，여술전평분차이균유통계학의의(P<0.01)。결론：응용개량뉴구강판기술치료견쇄관절탈위효과량호，시치료견쇄관절탈위교위이상적방법지일。
Objective:To investigate the effects of endobutton in the treatment of acromioclavicular joint dislocation. Methods:Thirty-one patients with Rockwood Ⅲ,Ⅳ and Ⅴ type cromioclavicular joint dislocation were treated with the modified button plate internal fixation. The shoulder joint function was evaluated according to Constant-Murley score. Results:All patients were followed up for 5 to 26 months. The average Constant scores before operation,at 1 week,and 1,3 and 6 month after operation were(30. 2±6. 3),(86. 3±6. 3),(93. 2±3. 5),(95. 2±3. 1) and(95. 4±3. 7),respectively. The difference of Constant-Murley score between before and after operation was statistically significant(P <0. 01). Conclusions:The effect of endobutton in the treatment of acromioclavicular joint dislocation is good,which is an ideal treatment for acromioclavicular joint dislocation.