CAJ | 학술논문

目的探讨Allman分类Ⅲ型的肩锁关节损伤手术治疗新方法.方法通过回顾性研究,对比三种方法治疗AllmanⅢ型肩锁关节损伤患者共63例的疗效.病例按手术方法不同分三组:锚钉经喙突-锁骨固定组22例,克氏针张力带组21例,锁骨钩钢板组20例;均为新鲜脱位,其中男38例,女25例.除锚钉经喙突-锁骨固定组外其它所有病例12～ 19个月后取出内植物,对所有患者的临床症状、体征和影像学表现进行随访,对结果进行统计学分析.结果平均随访19(13 ～ 31)个月,根据Karlsson疗效标准评价,三种术式优良率分别为95.5％、71.4％、85.0％;并发症发生病例分别为3、6、8例.结论锚钉经喙突-锁骨固定技术是治疗肩锁关节损伤的一种符合生理学原理、简便及避免行内固定物取出和效果良好的方法.
목적 탐토Allman분류Ⅲ형적견쇄관절손상수술치료신방법.방법 통과회고성연구,대비삼충방법치료AllmanⅢ형견쇄관절손상환자공63례적료효.병례안수술방법불동분삼조:묘정경훼돌-쇄골고정조22례,극씨침장력대조21례,쇄골구강판조20례;균위신선탈위,기중남38례,녀25례.제묘정경훼돌-쇄골고정조외기타소유병례12～ 19개월후취출내식물,대소유환자적림상증상、체정화영상학표현진행수방,대결과진행통계학분석.결과 평균수방19(13 ～ 31)개월,근거Karlsson료효표준평개,삼충술식우량솔분별위95.5％、71.4％、85.0％;병발증발생병례분별위3、6、8례.결론 묘정경훼돌-쇄골고정기술시치료견쇄관절손상적일충부합생이학원리、간편급피면행내고정물취출화효과량호적방법.
Objective To investigate the new method of treatment with Allman classification type Ⅲ acromioclavicular joint injury by operation.Methods Through a retrospective study,we compared the curative effects of three methods in the treatment of type Ⅲ Allman acromioclavicular joint injuries in patients with a total of 63 examples.They were divided into three groups according to different kinds of operations:anchor through coracoid-clavicle fixation group with 22 cases,Kirschner wire tension band group with 21 cases,and 20 cases in clavicular hook plate group; all the cases were new dislocation,in which 38 cases were male,25 cases were female.In addition to anchor through the coracoid clavicle fixation group,all other cases were removed the implants after 12-19 months,a follow-up study was carried out to record clinical symptoms,signs and imaging findings of patients,and the results were statistically analyzed.Results The average follow-up was 19(13-31) months,according to Karlsson criteria of efficacy evaluation,the excellent rates of three kinds of operation were 95.5％,71.4％ and 85.0％ respectively,the numbers of cases with complication were 3,6 and 8 respectively.Conclusion Anchor through coracoid-clavicular fixation is a method with good effect in the treatment of acromioclavicular joint injury,it is consistent with the principles of physiology,simple and can avoid removel of internal fixation.