锁骨钩钢板内固定联合喙锁韧带重建治疗急性完全性肩锁关节脱位效果观察

目的 探讨分析锁骨钩钢板内固定与喙锁韧带重建结合治疗急性完全性肩锁关节脱位的临床效果。方法 选取2017年3月至2019年3月收治的92例急性完全性肩锁关节脱位患者, 随机分为观察组和对照组, 观察组采用锁骨钩钢板内固定与喙锁韧带重建结合治疗, 对照组采用锁骨钩钢板内固定治疗, 比较两组肩关节功能、手术时间、恢复时间、术后3、12、24个月相关恢复指标及并发症。结果 观察组肩关节功能优良率为97.83%, 较对照组78.26%显著提高, 差异具有统计学意义(P＜0.05), 观察组手术时间为(80.27±10.31)min, 对照组组手术时间为(53.16±10.08)min, 观察组手术时间显著高于对照组, 差异具有统计学意义(P＜0.05)。观察组术后恢复时间为(24.98±3.76)d, 对照组组术后恢复时间为(36.02±3.54)d, 观察组恢复时间显著低于对照组, 差异具有统计学意义(P＜0.05)。观察组术后3、12、24个月VAS评分显著低于对照组, 术后3、12、24个月Constant-Murley评分显著高于对照组, 术后3、12、24个月肩锁关节距离较对照组均显著减小, 差异均具有统计学意义(P＜0.05)。观察组并发症发生率为6.52%, 较对照组28.26%显著降低, 差异具有统计学意义(P＜0.05)。结论 锁骨钩钢板内固定与喙锁韧带重建结合治疗急性完全性肩锁关节脱位可显著缓解患者疼痛, 缩短肩锁关节的距离, 减少术后并发症发生, 促进肩关节功能的恢复, 值得推广。

Observation of the effect of clavicle hook plate internal fixation combined with coracoclavicular ligament reconstruction on acute complete acromioclavicular joint dislocation

Objective To investigate the clinical effect of reconstruction of clavicular hook plate combined with sacral ligament reconstruction for acute complete acromioclavicular joint dislocation.Methods To select 92 patients with acute complete acromioclavicular joint dislocation admitted from March 2017 to March 2019 and divide them into observation group and control group randomly.The observation group was treated with clavicular hook plate internal fixation combined with sacral ligament reconstruction, and the control group was only treated with clavicular hook plate internal fixation.The shoulder function, operation time, recovery time, recovery index and complications were compared after 3, 12, 24 months.Results The excellent rate of shoulder joint function in the observation group was 97.83%, which was significantly higher than the control group of 78.26%.The difference was statistically significant (P＜0.05).The operation time in the observation group was (80.27 ± 10.31) min.The operation time in the control group was (53.16±10.08) min, the operation time in the observation group was significantly longer than that in the control group, and the difference was statistically significant (P＜0.05).The postoperative recovery time in the observation group was (24.98 ± 3.76) d, and the postoperative recovery time in the control group was (36.02 ± 3.54) d.The recovery time in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P＜0.05).The VAS scores in the observation group at 3, 12, and 24 months after surgery were significantly lower than those in the control group, and the Constant-Murley scores were significantly higher in the observation group at 3, 12, and 24 months after surgery.The distances were significantly reduced compared with the control group, and the differences were statistically significant (P＜0.05).The incidence of complications in the observation group was 6.52%, which was significantly lower than the control group of 28.26%, and the difference was statistically significant(P＜0.05).Conclusion Clavicular hook plate internal fixation combined with sacral ligament reconstruction for acute complete acromioclavicular joint dislocation can significantly relieve pain, shorten the distance of acromioclavicular joint, reduce postoperative complications and promote the recovery of shoulder function.Promote.