带线锚钉缝线桥技术治疗TossyⅢ型肩锁关节脱位

目的探讨带线锚钉缝线桥技术治疗TossyⅢ型肩锁关节脱位的临床疗效。 方法选择新鲜TossyⅢ型肩锁关节脱位患者64例，随机分为观察组和对照组，每组32例。观察组采取带线锚钉缝线桥技术治疗，对照组采用锁骨钩钢板内固定治疗。比较2组功能恢复时间，评价关节功能，观察并发症发生情况。 结果64例患者均获得随访，随访时间6~18个月，平均12个月。按Lazzcano疗效评价标准，观察组优良率高于对照组，差异有统计学意义（P＜0.05）。观察组恢复日常活动时间短于对照组，差异有统计学意义（P＜0.01）。观察组术后并发症发生率低于对照组，差异有统计学意义（P＜0.05）。 结论应用带线锚钉缝线桥技术治疗TossyⅢ型肩锁关节脱位，是一种简单有效的治疗方法，配合术后早期功能训练可获得满意的临床效果。

Treatment of Tossy Ⅲ acromioclavicular dislocation by suture anchor and suture bridge technique

ObjectiveTo investigate the clinical effect of Tossy Ⅲ acromioclavicular dislocation treated by suture anchor and suture bridge technique.MethodsSixty-four cases of fresh TossyⅢ acromioclavicular dislocation were randomly divided into observation group and control group, 32 cases in each group, the observation group treated by suture anchor and suture bridge technique;the control group treated by using clavicular hook plates.The functional recovery time of the two groups was compared, the joint function was evaluated, and the complications were observed.ResultsSixty-four cases were followed upfor 6-18 months, with an average of 12 months. The excellent and good rate in the observation group was higher than that in the control group according to the Lazzcano evaluation standard(P＜0.05). Daily activity time of observation group was shorter than that of control group, the difference was statistically significant(P＜0.01). The incidence of postoperative complications in the observation group was lower than that in the control group(P＜0.05).ConclusionThe treatment of TossyⅢ acromioclavicular joint dislocation by suture anchor and suture bridge is a simple and effective method. Combined with early postoperative functional training,satisfactory clinical results can be obtained.