TightRope装置治疗Rockwood Ⅲ型及以上急性肩锁关节脱位患者的效果分析
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摘要
目的:探析TightRope装置治疗Rockwood Ⅲ型及以上急性肩锁关节脱位患者的治疗效果。方法:选取2016年1月-2018年3月于本院骨外科就诊的60例确诊急性肩锁关节脱位患者。按照随机数字表法将其分为试验组和对照组,各30例。对照组给予关节镜下复位肩锁钩钢板内固定,试验组给予TightRope装置治疗。对比两组患者肩关节复位疗效、手术和术后各临床指标及术后并发症的发生情况。结果:试验组肩关节功能优良率高于对照组(P<0.05);试验组平均手术时间、住院时间与肩关节功能恢复时间均短于对照组,术后引流量少于对照组,比较差异均有统计学意义(P<0.05);试验组术后并发症发生率低于对照组(P<0.05)。结论:TightRope装置治疗Rockwood Ⅲ型及以上急性肩锁关节脱位的效果较好,能够尽早地恢复肩关节功能,改善肩关节的活动度,明显降低术后并发症的发生,且患者容易接受,值得临床推广应用。
Objective:To explore the therapeutic effect of TightRope device in treatment of patients with Rockwood type Ⅲ and above of acute acromioclavicular joint dislocation.Method:A total of 60 patients with acute acromioclavicular joint dislocation diagnosed in our hospital from January 2016 to March 2018 were selected.According to the random number table method,they were divided into experimental group and control group,30 cases in each group.The control group was treated with arthroscopic reduction and internal fixation with acromioclavicular hook plate,and experimental group was treated with TightRope device.The curative effect of shoulder joint reduction,clinical indexes and complications after operation between two groups were compared.Result:The total excellent rate of shoulder joint function in experimental group was significantly higher than that of control group(P<0.05).The average operation time,hospitalization time and recovery time of shoulder joint function in experimental group were significantly less than those of control group,the postoperative drainage volume was significantly less than that of control group,the differences were statistically significant(P<0.05).The incidence of complications in experimental group was significantly less than that of control group(P<0.05).Conclusion:TightRope device has a good effect in treatment of acute acromioclavicular joint dislocation of Rockwood type Ⅲ and above.It can restore shoulder function as early as possible,improve shoulder joint mobility,significantly reduce the incidence of postoperative complications,and is easy for patients to accept.It is worthy of clinical application.
Objective:To explore the therapeutic effect of TightRope device in treatment of patients with Rockwood type Ⅲ and above of acute acromioclavicular joint dislocation.Method:A total of 60 patients with acute acromioclavicular joint dislocation diagnosed in our hospital from January 2016 to March 2018 were selected.According to the random number table method,they were divided into experimental group and control group,30 cases in each group.The control group was treated with arthroscopic reduction and internal fixation with acromioclavicular hook plate,and experimental group was treated with TightRope device.The curative effect of shoulder joint reduction,clinical indexes and complications after operation between two groups were compared.Result:The total excellent rate of shoulder joint function in experimental group was significantly higher than that of control group(P<0.05).The average operation time,hospitalization time and recovery time of shoulder joint function in experimental group were significantly less than those of control group,the postoperative drainage volume was significantly less than that of control group,the differences were statistically significant(P<0.05).The incidence of complications in experimental group was significantly less than that of control group(P<0.05).Conclusion:TightRope device has a good effect in treatment of acute acromioclavicular joint dislocation of Rockwood type Ⅲ and above.It can restore shoulder function as early as possible,improve shoulder joint mobility,significantly reduce the incidence of postoperative complications,and is easy for patients to accept.It is worthy of clinical application.
引文
[1]黄超,林木良,祁伟,等.三重带袢纽扣钢板与锁骨钩钢板治疗急性肩锁关节脱位的远期疗效[J].中国矫形外科杂志,2016,24(24):2256-2259.
[2]王晓东,英强,舒克冬.双切口TightRope治疗肩锁关节脱位及锁骨远端骨折疗效体会[J].中国冶金工业医学杂志,2016,33(6):687-688.
[3]杨凯,潘朝晖,王伟,等.TightRope装置和锁骨钩钢板治疗RockwoodⅢ型急性肩锁关节脱位的疗效对比分析[J].中国临床医生杂志,2017,45(6):85-87.
[4]董辉详,黄长明,范华强,等.关节镜下改良Endobutton结合锚钉双重解剖重建技术在肩锁关节脱位治疗中的临床应用[J/OL].中华肩肘外科电子杂志,2017,5(1):36-46.
[5]韦达隆,李巍,杜钢,等.关节镜辅助带袢微钢板治疗肩锁关节脱位疗效观察[J].医学研究生学报,2016,29(2):187-190.
[6]袁伶俐,徐斌,姜少伟,等.Tightrope与Endobutton应用在交叉韧带重建中的效果比较[J].中国组织工程研究,2016,20(11):1616-1622.
[7]欧钜伦,许国泰,周姣丽,等.TightRope喙锁韧带重建联合带线锚钉治疗肩锁关节脱位效果观察[J].海南医学,2017,28(22):3657-3660.
[8]宋升,孙振中,印飞,等.钩钢板结合自体肌腱重建喙锁韧带与单纯钩钢板固定治疗肩锁关节脱位的比较[J].中国组织工程研究,2018,22(15):2355-2360.
[9]桂柯科,张新潮,尹望平,等.锁骨钩钢板复位固定急性肩锁关节脱位:是否需同时修复喙锁韧带[J].中国组织工程研究,2014,18(17):2691-2696.
[10]陈高峰,陈福林.带袢钢板治疗急性肩锁关节脱位的疗效观察[J].中国现代医生,2014,52(21):126-128.
[11]俞航,黄洪,陈明亮,等.双Endobutton技术重建喙锁韧带治疗RockwoodⅢ~Ⅴ型肩锁关节脱位[J].中国骨与关节损伤杂志,2014,29(7):681-682.
[12]王治洲,伊力哈木·托合提.肩锁关节的脱位及修复重建[J].中国组织工程研究,2014,18(33):5377-5383.
[13]刘燕洁,何鸿陶,陈云丰,等.急性RockwoodⅠ、Ⅱ型肩锁关节脱位非手术治疗疗效分析[J].中国骨与关节损伤杂志,2012,27(3):193-195.
[14]许福生,李桓毅,刘方刚,等.三重带袢纽扣钢板与锁骨钩钢板治疗急性肩锁关节脱位的疗效比较[J].中国矫形外科杂志,2012,20(8):700-703.
[15]邹明,骆宇春,柏广富,等.两种方法治疗RockwoodⅢ型肩锁关节脱位的疗效对比分析[J].重庆医学,2012,41(15):1486-1488.
[16]黄高,王金华,孔建中.肩锁关节脱位的诊断与治疗[J].创伤外科杂志,2012,14(4):369-372.
[17]陆伟,王大平,朱伟民,等.关节镜下四骨道双束固定治疗急性肩锁关节RockwoodⅤ型脱位[J/OL].中华肩肘外科电子杂志,2014,2(3):157-162.
[18]汪国友,沈骅睿,曾胜强,等.全关节镜下治疗肩锁关节脱位[J/OL].中华肩肘外科电子杂志,2014,2(3):151-156.
[19]赵加松,扶世杰,汪国友,等.关节镜辅助下袢钢板治疗RockwoodⅢ型肩锁关节脱位的临床疗效观察[J].中国矫形外科杂志,2015,23(16):1527-1529.
[20]扶世杰,舒从科,关钛元,等.关节镜下自体半腱肌肌腱重建与锁骨钩钢板治疗肩锁关节脱位疗效比较[J].中国运动医学杂志,2013,32(10):863-867.
[2]王晓东,英强,舒克冬.双切口TightRope治疗肩锁关节脱位及锁骨远端骨折疗效体会[J].中国冶金工业医学杂志,2016,33(6):687-688.
[3]杨凯,潘朝晖,王伟,等.TightRope装置和锁骨钩钢板治疗RockwoodⅢ型急性肩锁关节脱位的疗效对比分析[J].中国临床医生杂志,2017,45(6):85-87.
[4]董辉详,黄长明,范华强,等.关节镜下改良Endobutton结合锚钉双重解剖重建技术在肩锁关节脱位治疗中的临床应用[J/OL].中华肩肘外科电子杂志,2017,5(1):36-46.
[5]韦达隆,李巍,杜钢,等.关节镜辅助带袢微钢板治疗肩锁关节脱位疗效观察[J].医学研究生学报,2016,29(2):187-190.
[6]袁伶俐,徐斌,姜少伟,等.Tightrope与Endobutton应用在交叉韧带重建中的效果比较[J].中国组织工程研究,2016,20(11):1616-1622.
[7]欧钜伦,许国泰,周姣丽,等.TightRope喙锁韧带重建联合带线锚钉治疗肩锁关节脱位效果观察[J].海南医学,2017,28(22):3657-3660.
[8]宋升,孙振中,印飞,等.钩钢板结合自体肌腱重建喙锁韧带与单纯钩钢板固定治疗肩锁关节脱位的比较[J].中国组织工程研究,2018,22(15):2355-2360.
[9]桂柯科,张新潮,尹望平,等.锁骨钩钢板复位固定急性肩锁关节脱位:是否需同时修复喙锁韧带[J].中国组织工程研究,2014,18(17):2691-2696.
[10]陈高峰,陈福林.带袢钢板治疗急性肩锁关节脱位的疗效观察[J].中国现代医生,2014,52(21):126-128.
[11]俞航,黄洪,陈明亮,等.双Endobutton技术重建喙锁韧带治疗RockwoodⅢ~Ⅴ型肩锁关节脱位[J].中国骨与关节损伤杂志,2014,29(7):681-682.
[12]王治洲,伊力哈木·托合提.肩锁关节的脱位及修复重建[J].中国组织工程研究,2014,18(33):5377-5383.
[13]刘燕洁,何鸿陶,陈云丰,等.急性RockwoodⅠ、Ⅱ型肩锁关节脱位非手术治疗疗效分析[J].中国骨与关节损伤杂志,2012,27(3):193-195.
[14]许福生,李桓毅,刘方刚,等.三重带袢纽扣钢板与锁骨钩钢板治疗急性肩锁关节脱位的疗效比较[J].中国矫形外科杂志,2012,20(8):700-703.
[15]邹明,骆宇春,柏广富,等.两种方法治疗RockwoodⅢ型肩锁关节脱位的疗效对比分析[J].重庆医学,2012,41(15):1486-1488.
[16]黄高,王金华,孔建中.肩锁关节脱位的诊断与治疗[J].创伤外科杂志,2012,14(4):369-372.
[17]陆伟,王大平,朱伟民,等.关节镜下四骨道双束固定治疗急性肩锁关节RockwoodⅤ型脱位[J/OL].中华肩肘外科电子杂志,2014,2(3):157-162.
[18]汪国友,沈骅睿,曾胜强,等.全关节镜下治疗肩锁关节脱位[J/OL].中华肩肘外科电子杂志,2014,2(3):151-156.
[19]赵加松,扶世杰,汪国友,等.关节镜辅助下袢钢板治疗RockwoodⅢ型肩锁关节脱位的临床疗效观察[J].中国矫形外科杂志,2015,23(16):1527-1529.
[20]扶世杰,舒从科,关钛元,等.关节镜下自体半腱肌肌腱重建与锁骨钩钢板治疗肩锁关节脱位疗效比较[J].中国运动医学杂志,2013,32(10):863-867.