CAJ | 학술논문

目的观察双 Endobutton 钢板技术治疗肩锁关节完全脱位的临床疗效.方法58例 Rockwood 分类Ⅲ型及以上肩锁关节脱位患者,观察组28例采用双 Endobutton 钢板治疗,对照组30例采用肩锁钩钢板治疗,并在术后9~12个月左右取出肩锁钩钢板.疗效评估按照 JOA 肩关节疾患治疗成绩判定标准进行,放射学观察患肩正位片上术前、术后与随访时喙锁间隙、肩锁关节间隙改变及并发症情况.结果所有患者随访6~18个月,平均14.6个月,JOA 肩关节评分观察组85~100分,平均(96.18±4.30)分,对照组57~100分,平均(88.17±10.54)分(P<0.01).结论与肩锁钩钢板治疗比较,双 Endobutton 钢板设计合理,使用后能解剖重建喙锁韧带,实现肩锁关节的稳定,具有复位可靠、固定稳定、并发症发生率低的优点,可免去患者二次手术的费用和痛苦,是治疗 RockwoodⅢ~Ⅴ型肩锁关节脱位的有效方法.
목적관찰쌍 Endobutton 강판기술치료견쇄관절완전탈위적림상료효.방법58례 Rockwood 분류Ⅲ형급이상견쇄관절탈위환자,관찰조28례채용쌍 Endobutton 강판치료,대조조30례채용견쇄구강판치료,병재술후9~12개월좌우취출견쇄구강판.료효평고안조 JOA 견관절질환치료성적판정표준진행,방사학관찰환견정위편상술전、술후여수방시훼쇄간극、견쇄관절간극개변급병발증정황.결과소유환자수방6~18개월,평균14.6개월,JOA 견관절평분관찰조85~100분,평균(96.18±4.30)분,대조조57~100분,평균(88.17±10.54)분(P<0.01).결론여견쇄구강판치료비교,쌍 Endobutton 강판설계합리,사용후능해부중건훼쇄인대,실현견쇄관절적은정,구유복위가고、고정은정、병발증발생솔저적우점,가면거환자이차수술적비용화통고,시치료 RockwoodⅢ~Ⅴ형견쇄관절탈위적유효방법.
[ ] Objective To evaluate the clinical effects of double Endobutton plate technique in treatment of complete dis-location of acromioclavicular joint. Methods Fifty eight patients with acromioclavicular joint dislocation of Rockwood Grade Ⅲ or above were enrol ed in the study, among whom 28 cases were treated with double Endobutton plate (trial group) and 30 cases were fixed with AO clavicula hook plate which were dislodged after 9~12 months. The therapeutic effects were evaluated in ac-cordance with the JOA score standard. The anteroposterior radiographs were fol owed up for the changes of the coracoclavicular gap and acromioclavicular joint gap of the diseased shoulder joint before and after treatment and also the complication. Results Al the patients were fol owed-up for 6~18 months, with the average of 14.6 months. According to the JOA score standard for shoulder joint, the results of the trial group were 85~100 points, with the average of 96.18±4.30 points; and those of control group were 57~100 points, with the average of 88.17±10.54 points (P<0.01). Conclusion Comparing to the AO clavicula hook plate treatment, the double Endobutton plate technology is an modus operandi to treat acromioclavicular joint dislocation of Rockwood Grade Ⅲ~V, which is rationaly designed with the virtue of reliable reduction, stable fixation and low rate of complica-tion.