改良带袢钛板悬吊固定治疗肩锁关节脱位的近中期疗效

目的? 观察改良带袢钢板悬吊固定治疗肩锁关节脱位的近中期疗效。方法? 选取医院2020年12月至2022年12月收治的72例肩锁关节脱位患者进行回顾性分析,依据治疗术式不同分为研究组(n＝37)、对照组(n＝35)。研究组行改良带袢钢板悬吊固定,对照组行锁骨钩钢板固定。比较2组围术期指标、术后并发症情况、术后6个月肩关节功能恢复优良率及术前、术后3个月、6个月Constant-Murley评分、肩关节活动度、疼痛视觉模拟量表(VAS)评分。结果? 研究组切口长度、恢复工作时间短于对照组,术中出血量低于对照组(P＜0.05)；2组术后3个月、6个月Constant-Murley评分、肩关节前屈及外展活动度均较术前提高,且研究组高于对照组(P＜0.05)；2组术后3个月、6个月VAS评分均较术前降低,且研究组低于对照组(P＜0.05)；研究组术后6个月肩关节功能恢复优良率(94.59%)与对照组(80.00%)相比,无差异(P＞0.05)；研究组术后并发症发生率(2.70%)与对照组(17.14%)相比,无差异(P＞0.05)。结论? 改良带袢钢板悬吊固定用于肩锁关节脱位可减轻手术创伤,降低术后疼痛感,促进肩关节功能恢复,但能否提升总体肩关节功能疗效、减少并发症仍需进一步论证。

Short-term and medium-term efficacy of modified loop plate suspension fixation in the treatment of acromioclavicular joint dislocation

Objective To observe the short-term and mid-term efficacy of modified loop plate suspension fixation in the treatment of acromioclavicular joint dislocation. Methods A retrospective analysis was performed on 72 patients with acromioclavicular joint dislocation admitted to the hospital from December 2020 to December 2022. They were divided into study group ( n = 37 ) and control group ( n = 35 ) according to different treatment methods. The study group was treated with modified loop plate suspension fixation, and the control group was treated with clavicular hook plate fixation. The perioperative indexes, postoperative complications, excellent and good rate of shoulder joint function recovery at 6 months after operation, Constant-Murley score, shoulder joint mobility and pain visual analogue scale ( VAS ) score before operation, 3 months and 6 months after operation were compared between the two groups. Results The incision length and recovery time of the study group were shorter than those of the control group, and the intraoperative blood loss was lower than that of the control group ( P < 0.05 ). The Constant-Murley score, shoulder flexion and abduction activity of the two groups at 3 months and 6 months after operation were higher than those before operation, and the study group was higher than the control group ( P < 0.05 ). The VAS scores of the two groups at 3 months and 6 months after operation were lower than those before operation, and the study group was lower than the control group ( P < 0.05 ). There was no difference in the excellent and good rate of shoulder joint function recovery between the study group ( 94.59% ) and the control group ( 80.00% ) at 6 months after operation ( P > 0.05 ). There was no difference in the incidence of postoperative complications between the study group ( 2.70% ) and the control group ( 17.14% ) ( P > 0.05 ). Conclusion The modified loop plate suspension fixation for acromioclavicular joint dislocation can reduce surgical trauma, reduce postoperative pain, and promote the recovery of shoulder joint function. However, whether it can improve the overall efficacy of shoulder joint function and reduce complications still needs further demonstration.