C臂X线机引导下双Endobutton钢板微创治疗肩锁关节脱位_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 郝亮 , 廖琦 , 周斌 , 刘春龙

南昌大学第二附属医院骨二科（南昌，330006）;

Corresponding author：

郝亮, Email: haoliang201@163.com

Keywords：

肩锁关节脱位; 双Endobutton钢板; C臂X线机; 微创治疗

DOI：

10.7507/1002-1892.20140201

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的总结C臂X线机引导下双Endobutton钢板微创治疗RockwoodⅢ型及以上肩锁关节脱位的疗效。方法 2010年1月-2012年6月，于C臂X线机引导下采用双Endobutton钢板微创治疗肩锁关节脱位21例。男16例，女5例；年龄19～46岁，平均29.8岁。致伤原因：摔伤14例，交通事故伤7例。损伤至手术时间为5～12 d，平均8.3 d。根据Rockwood分型标准：Ⅲ型14例，Ⅳ型5例，Ⅴ型2例。术前肩关节疼痛视觉模拟评分（VAS）为（7.82±0.21）分，Constant评分为（35.3±4.6）分。结果术后切口均Ⅰ期愈合，无神经、血管损伤等手术相关并发症发生。患者均获随访，随访时间12～14个月，平均13.4个月。X线片复查示，锁骨远端高度均达到解剖复位。术后1周及1、12个月Constant评分分别为（85.2±5.6）、（90.1±3.5）、（96.3±2.8）分；活动状态下VAS评分分别为（4.33±0.34）、（2.12±0.26）、（0.85±0.16）分；术后各时间点以上两指标均较术前显著改善（P＜0.05）。结论 C臂X线机引导下双Endobutton钢板微创治疗Rockwood Ⅲ型及以上肩锁关节脱位安全、有效。

Citation： 郝亮, 廖琦, 周斌, 刘春龙. C臂X线机引导下双Endobutton钢板微创治疗肩锁关节脱位. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(7): 919-920. doi: 10.7507/1002-1892.20140201 Copy

1.	Tauber M.Management of acute acromioclavicular joint dislocations:current concepts.Arch Orthop Trauma Surg,2013,133(7):985-995.
2.	Steven S.Double endobutton technique for repair of complete acromioclavicular joint dislocations.Techniques in Shoulder & Elbow Surgery,2007,8(4):175-179.
3.	Lädermann A,Grosclaude M,Lübbeke A,et al.Acromioclavicular and coracoclavicular cerclage reconstruction for acute acromioclavicular joint dislocations.J Shoulder Elbow Surg,2011,20(3):401-408.
4.	Kim SH,Lee YH,Shin SH,et al.Outcome of conjoined tendon and coracoacromial ligament transfer for the treatment of chronic type V acromioclavicular joint separation.Injury,2012,43(2):213-218.
5.	Beitzel K,Sablan N,Chowaniec DM,et al.Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation.Am J Sports Med,2012,40(3):681-685.
6.	Venjakob AJ,Salzmann GM,Gabel F,et al.Arthroscopically assisted 2-bundle anatomic reduction of acute acromioclavicular joint separations:58-month findings.Am J Sports Med,2013,41(3):615-621.

1. Tauber M.Management of acute acromioclavicular joint dislocations:current concepts.Arch Orthop Trauma Surg,2013,133(7):985-995.
2. Steven S.Double endobutton technique for repair of complete acromioclavicular joint dislocations.Techniques in Shoulder & Elbow Surgery,2007,8(4):175-179.
3. Lädermann A,Grosclaude M,Lübbeke A,et al.Acromioclavicular and coracoclavicular cerclage reconstruction for acute acromioclavicular joint dislocations.J Shoulder Elbow Surg,2011,20(3):401-408.
4. Kim SH,Lee YH,Shin SH,et al.Outcome of conjoined tendon and coracoacromial ligament transfer for the treatment of chronic type V acromioclavicular joint separation.Injury,2012,43(2):213-218.
5. Beitzel K,Sablan N,Chowaniec DM,et al.Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation.Am J Sports Med,2012,40(3):681-685.
6. Venjakob AJ,Salzmann GM,Gabel F,et al.Arthroscopically assisted 2-bundle anatomic reduction of acute acromioclavicular joint separations:58-month findings.Am J Sports Med,2013,41(3):615-621.

Previous Article
ROLE OF microRNA IN SKIN DEVELOPMENT AND WOUND HEALING
Next Article
经保留伸肘装置的后侧入路手术治疗成人肱骨远端骨折

Chinese Journal of Reparative and Reconstructive Surgery

C臂X线机引导下双Endobutton钢板微创治疗肩锁关节脱位

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content