锁骨钩钢板加喙肩韧带转位重建喙锁韧带治疗肩锁关节脱位

目的 探讨锁骨钩钢板加喙肩韧带转位重建喙锁韧带治疗肩锁关节脱位的疗效.方法 选择河北满城县医院2008 年6月-2011 年4 月收治的肩锁关节脱位患者40 例的临床资料,其中20 例采用锁骨钩钢板加喙肩韧带转位重建喙锁韧带治疗( 研究组),20 例采用锁骨钩钢板加张力带治疗( 对照组),观察两组治疗效果.结果 两组术前术后均采用Lazzcano 标准评价肩关节功能,两组术后肩关节功能均较治疗前明显改善(P<0.05).研究组治疗后肩关节功能优良率高于对照组(P<0.05).两组切口均甲级愈合,均未出现螺钉松动和断裂.结论 锁骨钩钢板加喙肩韧带转位重建喙锁韧带治疗肩锁关节脱位较锁骨钩钢板加张力带治疗术后肩关节功能优良率高,且固定牢靠,安全有效.

Clavicular hook plate and coracoacromial ligament transferred to reconstruct coracoclavicular ligament in treatment of acromioclavicular joint dislocation

Objective To study the therapeutic effect of combined clavicular hook plate and coracoclavicular ligament reconstruction on dislocation of acromiclavicular joint.Methods Forty patients with dislocation of acromioclavicular joint admitted to our hospital from June 2008 to April 2011 were divided into study group(n=20) and control group(n=20).Patients in study group were treated with combined clavicular hook plate and coracoacromial ligament reconstruction while those in control group were treated with combined clavicular hook plate and tension belt to observe their therapeutic effect.Results The shoulder function of patients in two groups before and after operation was assessed according to the Lazzcano standards,which was significantly better after operation than before operation(P<0.05).The excellent rate of shoulder function was significantly higher in study group than in control group after operation(P<0.05).The incisions healed quite well with no screw loosening and fracture.Conclusion Combined clavicular hook plate and coracoclavicular ligament reconstruction is a safe and effective procedure for dislocation of acromioclavicular joint with a higher excellent rate than that of combined clavicular hook plate and tension belt.