[三枚Endobutton技术治疗TossyⅢ型肩锁关节脱位]

[Triple-Endobutton technique for the treatment of Tossy type III acromioclavicular joint dislocation].

作者信息

Sun Liao-jun, Lu Di, Chen Hua

出版信息

Zhongguo Gu Shang. 2015 Jun;28(6):496-9.

Abstract

OBJECTIVE

To evaluate the clinical outcomes and complications of Triple-Endobutton plates in treating Tossy type III acromioclavicular joint dislocation.

METHODS

From January 2011 to January 2013,45 patients with Tossy type III acromioclavicular joint dislocation were treated with Triple-Endobutton plates. There were 35 males and 10 females with an average age of 30.5 (ranged from 19 to 60) years old. At the final follow-up, VAS, DASH, Constant-Murley criterion were used to evaluate shoulder function.

RESULTS

All patients were followed up from 15 to 36 months. No neurovascular injury, wound infection and stress fractures were found,but 3 patients had a re-dislocation. At the final follow-up,the mean VAS score was decreased from (5.7±1.6) preoperatively to postoperative (0.2±0.1); DASH score was significantly decreased from (19.6±4.3) preoperatively to (0.3±0.1) postoperatively; Constant-Murley score was improved from (34.4±4.3) before operation to (94.8± 3.5) after operation.

CONCLUSION

Clinical outcomes of treating Tossy type III acromioclavicular joint dislocation with Triple-Endobutton plates is satisfactory. However, re-dislocation is still the most common complication. Careful perioperative management is an important factor in preventing re-dislocation.

摘要

目的

评估三Endobutton钢板治疗TossyⅢ型肩锁关节脱位的临床疗效及并发症。

方法

2011年1月至2013年1月，45例TossyⅢ型肩锁关节脱位患者采用三Endobutton钢板治疗。其中男性35例，女性10例，平均年龄30.5岁（19～60岁）。末次随访时，采用视觉模拟评分法（VAS）、上肢功能障碍评分（DASH）、Constant-Murley评分标准评估肩关节功能。

结果

所有患者均获随访15～36个月。未发现神经血管损伤、伤口感染及应力性骨折，但有3例发生再脱位。末次随访时，VAS评分均值由术前的（5.7±1.6）降至术后的（0.2±0.1）；DASH评分由术前的（19.6±4.3）显著降至术后的（0.3±0.1）；Constant-Murley评分由术前的（34.4±4.3）提高至术后的（94.8±3.5）。