Cai Leyi, Wang Te, Lu Di, Hu Wei, Hong Jianjun, Chen Hua
a Department of Orthopaedic Surgery , The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University , Wenzhou , China .
J Invest Surg. 2018 Jun;31(3):226-233. doi: 10.1080/08941939.2017.1305022. Epub 2017 Apr 12.
Acromioclavicular joint dislocation is one of the most common shoulder problems and may lead to instability or degenerative changes. The aim of this study was to compare the clinical outcomes of the Tight Rope system and clavicular hook plate for Rockwood type III acromioclavicular joint dislocation in adults.
This was a prospective, randomized study in a hospital setting. From January 2012 to December 2014, 69 patients with type III injury were reviewed. Patients were randomly divided into two groups: Group A was treated using the TightRope system and Group B with the clavicular hook plate. All participants were followed up for 12 months. Clinical outcomes, radiological results and postoperative complications were recorded.
The length of incision was significantly shorter in Goup A than that in Group B. The blood loss of surgery was significantly less in the Group A. Significant difference could be found between the two groups regarding the Visual Analogue Scale scores one day after surgery, at the 3 and 12 months follow-up. There were no differences according to the improvement of the Constant-Murley score and the coracoclavicular distance between the groups.
The two groups have similar clinical and radiological outcomes. Both treatments could relieve the pain of dislocation, improve the function of Acromioclavicular joint and rectify the coracoclavicular distance measured in plain films. However, the TightRope system exhibited some advantages in terms of length of incision, blood loss of surgery, the pain postoperatively and no need for a second surgery.
肩锁关节脱位是最常见的肩部问题之一，可能导致不稳定或退行性改变。本研究的目的是比较Tight Rope系统和锁骨钩钢板治疗成人Rockwood III型肩锁关节脱位的临床疗效。
这是一项在医院环境中进行的前瞻性随机研究。回顾了2012年1月至2014年12月期间69例III型损伤患者。患者随机分为两组：A组采用TightRope系统治疗，B组采用锁骨钩钢板治疗。所有参与者均随访12个月。记录临床疗效、影像学结果和术后并发症。
A组切口长度明显短于B组。A组手术失血量明显较少。两组在术后1天、3个月和12个月随访时的视觉模拟量表评分存在显著差异。两组在Constant-Murley评分改善和喙锁距离方面无差异。
两组的临床和影像学结果相似。两种治疗方法均可缓解脱位疼痛，改善肩锁关节功能，并纠正X线平片测量提示的喙锁距离。然而，TightRope系统在切口长度、手术失血量、术后疼痛以及无需二次手术方面表现出一些优势。
