rockwoodⅲ型肩锁关节脱位三种治疗方式的对比性研究.docVIP

精品论文 参考文献 RockwoodⅢ型肩锁关节脱位三种治疗方式的对比性研究 （1 承德医学院，河北承德，067000；2保定市第二医院，河北保定，071000） 　　[摘要] 目的 总结锁骨钩钢板、带线锚钉、Endobutton钢板治疗RockwoodⅢ型肩锁关节脱位的优劣，为后续治疗提供理论依据。方法 2010年6月至2015年6月，98例新鲜闭合单侧RockwoodⅢ型肩锁关节脱位患者分为锁骨钩钢板组(34例)、带线锚钉组(33例)、Endobutton组(31例)，收集并对比三组的术中出血量、手术切口长度、并发症、内固定取出及术后12个月疗效（Karlsson标准）等的差异性。结果 三组术后12个月疗效优良率（94.12%vs93.94%vs96.77%）、术中出血量接近（Pgt;0.05）；手术切口长度，带线锚钉组、Endobutton钢板组接近（Pgt;0.05），均小于锁骨钩钢板组（Plt;0.05）；锁骨钩钢板组发生6例反复肩痛，29例内固定取出，其余两组无反复肩痛，无内植物取出。结论 锁骨钩钢板、带线锚钉、Endobutton钢板均能有效治疗RockwoodⅢ型肩锁关节脱位，带线锚钉、Endobutton钢板切口小、并发症少且无需二次取出。 　　[关键词] 肩锁关节脱位；锁骨钩钢板；带线锚钉；Endobutton钢板 　　Contrast study of three types of treatment of Rockwood type III dislocation of the shoulder joint 　　Wang Jianbo1 Yuan Weidong2 　　(1Chengde Medical College,Chengde,Hebei,067000; 2second hospital of Baoding,Baoding,Hebei 071000) 　　[Abstract] Objective To summarize the advantages and disadvantages of clavicle hook plate, line anchor and Endobutton plate in the treatment of Rockwood type III dislocation of the shoulder, and to provide theoretical basis for follow-up treatment. Methods from June 2010 to June 2015, 98 cases of fresh closed unilateral Rockwood type acromioclavicular joint dislocation were randomly divided into clavicular hook plate group (34 cases), suture anchors group (33 cases), Endobutton group (31 cases), were collected and compared between the three groups of intraoperative blood loss, length of incision, complications the removal of internal fixation, and postoperative 12 months curative effect (Karlsson) difference etc.. Results the three groups after 12 months treatment excellent rate (94.12%vs93.94%vs96.77%), bleeding (Pgt;0.05); close the incision length, suture anchors group, Endobutton group (Pgt;0.05), close to the plate are less than the clavicular hook plate group (Plt;0.05); clavicular hook plate group occurred in 6 cases of recurrent shoulder pain, 29 cases of internal fixation, the other two groups without recurrent shoulder pain, no implant removal. Conclusio