缝合锚钉与袢钢板固定肩锁脱位的疗效比较
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蚌埠医学院第二附属医院

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R684.7

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Comparison of suture anchor versus loop plate for acromioclavicular dislocation
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Second Affiliated Hospital of Bengbu Medical Collage

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    摘要:

    [目的] 比较缝合锚钉与袢钢板治疗肩锁关节脱位的疗效。[方法] 65例接受韧带重建术的TossyⅢ型肩锁关节脱位患者分两组,锚钉组32例,袢钢板组33例。对比两组患者的临床及影像学结果。[结果] 锚钉组的手术时间、出血量、切口总长度均小于袢钢板组(P<0.05)。术后两组患者VAS评分显著降低(P<0.05),Constant-Murley评分显著增高(P<0.05),组间差异均无统计学意义(P>0.05)。术后两组患者肩锁间距及喙锁间距均较术前减小(P<0.05)。肩锁间距同一时间组间差异无统计学意义(P>0.05)。喙锁间距术后2天组间差异无统计学意义(P>0.05),术后2年锚钉组大于袢钢板组(P<0.05)。[结论] 缝合锚钉重建与袢钢板重建均能缓解肩关节疼痛、恢复肩关节功能,缝合锚钉重建对喙锁间距的保持不及袢钢板重建,但其创伤较小,用时较少。

    Abstract:

    [Objective] To compare the effect of suture anchor and loop plate for treatment of acromioclavicular dislocation. [Methods] 65 patients with Tossy type Ⅲ acromioclavicular joint dislocation were treated with the surgery of ligament reconstruction. They were divided into suture anchor group (32 cases) and loop plate group (33 cases). The clinical and imaging results were compared between two groups. [Results] The operation time, blood loss and total length of incision in suture anchor group were less than those in loop plate group(P<0.05). VAS scores decreased and Constant-Murley scores increased postoperatively(P<0.05), and there was no significant difference in VAS scores and Constant-Murley scores between two groups(P>0.05). The acromioclavicular distance and coracoclavicular distances of the two groups both became smaller postoperatively(P<0.05). There was no significant difference in acromioclavicular distance between two groups at the same time(P>0.05). There was no significant difference in coracoclavicular distances between two groups after 2 days of the operation(P>0.05). The coracoclavicular distance in suture anchor group was bigger than that in loop plate group after 2 years of the operation(P<0.05). [Conclusions] Suture anchor reconstruction and loop plate reconstruction both can alleviate shoulder pain and restore shoulder joint function. Suture anchor reconstruction can not maintain the coracoclavicular distance as well as loop plate reconstruction. However, suture anchor reconstruction has the advantages of less trauma and less time.

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  • 收稿日期:2021-09-28
  • 最后修改日期:2021-12-13
  • 录用日期:2022-02-09
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