纽扣钢板内固定治疗肩锁关节脱位31例

王进; 黄彰; 江华; 潘政军; 谢杰; 潘良春

纽扣钢板内固定治疗肩锁关节脱位31例

The effect of endobutton in the treatment of acromioclavicular joint dislocation

摘要

摘要: 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。

Abstract: 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.

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