重度肩锁关节脱位的手术治疗.docVIP

重度肩锁关节脱位的手术治疗 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：重度肩锁关节脱位的手术治疗 1 1资料与方法 3 文2：肩锁关节脱位的手术治疗 5 1 资料与方法 6 2 结 果 7 3 讨 论 8 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 12 正文 重度肩锁关节脱位的手术治疗 文1：重度肩锁关节脱位的手术治疗 Surgical Operation for Severe Dislocation of Acromioclavicular Joint Lu Weijie Guangdong Provincial Frontier Defee Corps Hospital of Armed Police Force, Shenzhen 518029, China Abstract： ObjectiveTo compare the therapeutic outcomes of severe acromioclavicular dislocation and terminal clavicular fracture among the methods with nylon thread, clavicular hook plate and Kichner wire teion of 66 cases with severe acromioclavicular dislocation, 22 were treated with clavicular hook plate, 18 with Kichner wire teion belt, and 26 with nylon thread. Retrospective analysis was done in order that the therapeutic outcomes and the complicatio could be compared. ResultsAcording to the followup (mean=15 months), the excellence rates of the three methods were % (Kichner wire teion belt), % (clavicular hook plate) and 100% (nylon thread), respectively, among which there existed statistical differences (P). As a result, there were three cases with loosening of Kichner wire in the group of Kichner wire teion belt, two of which suffered wire breaking plus acromioclavicular redislocation. There were two cases with pain inferior to acromion in the group of clavicular hook plate. But there was neither redislocation nor pain inferior to acromion in the group of nylon thread. ConclusionIt is concluded that the therapeutic approach with clavicular hook plate or nylon thread is more effective on severe acromioclavicular dislocation than that with traditional Kichner wire teion belt. Nylon thread method gai an advantage over any of the other two, for it brings about less complicatio. Key words： acromioclavicular joint; dislocation; fixation 重度肩锁关节脱位的稳定结构破坏严重，多需手术修复及固定。目前临床常用的固定方法有克氏针张力带固定、锁骨钩钢板固定及尼龙线固定等［1］。为了对3种固定方法及手术方式进行临床疗效对比，我们对1998年以来手术治疗的66例重度肩锁关节脱位的患者，进行回顾性分析比较，现报告如下。 1资