| 摘要: |
| ［摘要］ 目的 比较双ENDOBUTTON CL钛板与锁骨钩钛板治疗Tossy Ⅲ型肩锁关节脱位的临床效果。方法 67例Tossy Ⅲ型肩锁关节脱位患者，采用切开复位锁骨钩钛板内固定术治疗32例（锁骨钩钛板固定组），采用切开复位ENDOBUTTON CL系统内固定术治疗35例（ENDOBUTTON CL固定组）。对两组进行肩关节功能评定。结果 67例患者均得到随访，随访时间8～28(12.4±2.6)个月，脱位全部复位，无再脱位，均恢复正常生活和工作。按照Constant CR标准评定患者术后的肩关节功能恢复情况，锁骨钩钛板固定组优11例，良9例，可7例，差5例，优良率为62.5%(20/32)。ENDOBUTTON CL固定组优16例，良14例，可4例，差1例，优良率为87.7%(30/35)，两组疗效的优良率比较差异有统计学意义(χ2=4.7577，P<0.05)。结论 双ENDOBUTTON CL钛板治疗Tossy Ⅲ型肩锁关节脱位的效果好于锁骨钩钛板。 |
| 关键词: 肩锁关节脱位 双ENDOBUTTON CL钛板 锁骨钩钛板 |
| DOI：10.3969/j.issn.1674-3806.2014.04.05 |
| 分类号:R 683 |
| 基金项目:2013年度广东省清远市第一批科技计划项目(编号：2013B030) |
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| Comparison of the outcomes of double ENDOBUTTON CL plate versus clavicular Hook-plate in the treatment of Tossy Ⅲ type dislocation of acromioclavicular articulation |
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ZHU Jiang, LIU Wen-he, LI Yun-hua, et al.
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Second Department of Orthopaedics, the People′s Hospital of Qingyuan City, Guangdong 511518, China
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| Abstract: |
| ［Abstract］ Objective To compare the clinical effects of double ENDOBUTTON CL plate versus clavicular hook-plate in the treatment of Tossy Ⅲ type dislocation of acromioclavicular articulation.Methods Sixty-seven patients with Tossy Ⅲ type acromioclavieular dislocation were treated with open reduction and internal fixation. Out of the 67 patients, 32 patients were treated with clavicular hook, 35 patients with ENDOBUTTON CL system. The outcomes were graded into excellent, good, fair and poor according to the Constant CR criterion.Results All 67 patients were followed up from 8 to 28 months［averaged （12.4±2.6）months］. All acromioclavicular joint dislocation was reduced. All patients recovered from abnormal function and no complication happened. According to the scales of Constant CR, the post-operation shoulder-joint function were excellent in 11 patients, good in 9 patients, fair in 7 patients and poor in 5 patients in the clavicular hook group. The rate of both excellent and good were 62.5%(20/32); the post-operation shoulder-joint function were excellent in 16 patients, good in 14 patients, fair in 4 patients and poor in 1 patient in the ENDOBUTTON CL System group. The rate of both excellent and good were 87.7%(30/35). The difference of the rate of both excellent and good had statistical significance between the two groups(χ2=4.7577，P<0.05).Conclusion In the treatment of Tossy Ⅲ acromioclavicular dislocation, fixation of double ENDOBUTTON CL plate is better than hook plate fixation. |
| Key words: Acromioclavicular dislocation Double ENDOBUTTON CL plate Clavicular hook plate |
