Triple-Endobutton钢板置入治疗Rochwood Ⅲ-Ⅴ型肩锁关节脱位

目的：探讨Triple-Endobutton 钢板置入治疗Rochwood分型Ⅲ-Ⅴ型肩锁关节脱位的临床疗效。方法：2008年3月至2010年6月，对28例Rochwood Ⅲ-Ⅴ型肩锁关节脱位的患者进行Triple-Endobutton 钢板置入治疗，男18例，女10例；年龄20～60岁，平均38岁；左侧20例，右侧8例；均为闭合性损伤。肩关节功能按Constant标准进行疗效分析。结果：28例获随访，时间18～24个月，平均20个月。所有患者肩关节活动良好，未出现再脱位及疼痛等症状。X线检查肩锁关节均完全复位。肩关节功能按Constant标准，术前评分25.4±2.0，术后1个月65.9±3.0，术后3个月87.2±3.2，术后6个月95.7±1.6.结论：利用Triple-Endobutton 钢板置入治疗Rochwood Ⅲ-Ⅴ型肩锁关节脱位固定牢靠，操作简单，并发症少，无须二次取出，术后可早期进行功能锻炼，疗效满意。

Triple-Endobutton plates for the treatment of Rockwood type III to V acromioclavicular joint dislocation

Objective： To evaluate the clinical results of Triple-Endobutton plates for the treatment of Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocation. Methods： From March 2008 to June 2010,28 patients with Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocations were treated with Triple-Endobutton plates. There were 18 males and 10 females,ranging in age from 20 to 60 years old（averaged 38 years old）. Twenty patients had dislocations in the left and 8 patients had dislocations in the right. All the patients had close injury. The Constant criterion was used to evaluate shoulder joint function. Results： All the patients were followed up,and the duration ranged from 18 to 24 months,with an average of 20 months. All the patients got good shoulder joint function,and no re-dislocation and pain occurred. The X-ray showed all acromioclavicular joints got good reduction. According to Constant criterion,preoperative score was 25.4±2.0,postoperative scores were 65.9±3.0,87.2±3.2 and 95.7±1.6 at 1 month,3 months and 6 months separately. Conclusion： Treatment of Rockwood type Ⅲ to Ⅴ acromioclavicular joint dislocation with Triple-Endobutton plates has satisfactory clinical outcome,simple operation,few complications,without secondary operation and early functional exercise postoperatively.