Yin Ji-Heng
Zhongguo Gu Shang. 2014 Jan;27(1):61-3.
To evaluate the clinical results of Triple-Endobutton plates for the treatment of Rockwood type III to V acromioclavicular joint dislocation.
From March 2008 to June 2010,28 patients with Rockwood type II to V acromioclavicular joint dislocations were treated with Triple-Endobutton plates. There were 18 males and 10 females,ranging in age from 20 to 60 years old (averaged 38 years old). Twenty patients had dislocations in the left and 8 patients had dislocations in the right. All the patients had close injury. The Constant criterion was used to evaluate shoulder joint function.
All the patients were followed up,and the duration ranged from 18 to 24 months,with an average of 20 months. All the patients got good shoulder joint function,and no re-dislocation and pain occurred. The X-ray showed all acromioclavicular joints got good reduction. According to Constant criterion,preoperative score was 25.4 +/- 2.0, postoperative scores were 65.9 +/- 3.0, 87.2 +/- 3.2 and 95.7+/- 1.6 at 1 month,3 months and 6 months separately.
Treatment of Rockwood type III to V acromioclavicular joint dislocation with Triple-Endobutton plates has satisfactory clinical outcome, simple operation, few complications, without secondary operation and early functional exercise postoperatively.
评估三Endobutton钢板治疗RockwoodⅢ型至Ⅴ型肩锁关节脱位的临床效果。
2008年3月至2010年6月，采用三Endobutton钢板治疗28例RockwoodⅡ型至Ⅴ型肩锁关节脱位患者。其中男性18例，女性10例，年龄20～60岁（平均38岁）。左侧脱位20例，右侧脱位8例。所有患者均为闭合性损伤。采用Constant标准评估肩关节功能。
所有患者均获随访，随访时间18～24个月，平均20个月。所有患者肩关节功能良好，无再次脱位及疼痛发生。X线显示所有肩锁关节复位良好。按Constant标准，术前评分为25.4±2.0，术后1个月、3个月、6个月评分分别为65.9±3.0、87.2±3.2、95.7±1.6。
三Endobutton钢板治疗RockwoodⅢ型至Ⅴ型肩锁关节脱位临床效果满意，手术操作简单，并发症少，无需二次手术，术后可早期进行功能锻炼。
