微动解剖肩锁钢板内固定治疗肩锁关节脱位*

目的回顾性分析微动解剖肩锁钢板治疗Rockwood III、V型肩锁关节脱位的临床疗效。方法 2006年1月-2008年6月,采用微动解剖肩锁钢板治疗肩锁关节脱位36例,3个月后拆除钢板,分析患者的功能结局、症状、X线结果及患者满意度。结果 36例患者术后随访12-28个月,平均15.5个月,平均Constant得分为92分﹙56-100分﹚。仅1例在钢板取出后复位有部分缺失,功能评价为可;1例出现肩部疼痛,尤其是活动时明显,功能评价为差;其余患者均对治疗结果满意,术后无螺钉松动、感染、肺不张等并发症发生。结论微动解剖肩锁钢板设计合理,符合肩锁关节的解剖生理特点,固定可靠,允许早期进行功能锻炼,并发症少,功能结果好,是治疗肩锁关节脱位的可靠选择。

The micro-movable and anatomical acromioclavicular plate in treatment of acromioclavicular joint dislocation

Objective To retrospectively analyze the clinical effect in treating Rockwood type III、V acromioclavicular joint dislocation by micro-movable and anatomical acromioclavicular plate. Methods Between January 2006 and June 2008, the clinical data of 36 patients with rockwood type III、V acromioclavicular joint dislocation patients were retrospectively analyzed and summarized. The plate was removed at 3 months post-operation. All cases were observed functional status, symptom severity, X-rays results and patient satisfaction. Results All patients were followed up from 12 months to 28 months with an average of 15.5 months. The average Constant score at last follow-up was 92﹙range, 56-100﹚. All patient were satis ed with their treatment results except for one case with the pain of shoulder. There was no loosing of nails, plate breakage,infection, pulmonary atelectasis or other complications occurring,only 1 case showing some loss of reduction after plate removal. Conclusion The micromovable and anatomical acromioclavicular plate is designed rationally according to anatomical and biological property of acromioclavicar joint. It demonstrates the advantages of better reduction, firm, less complication and allowing early functional exercises. We conclude that surgical treatment using micro-movable and anatomical acromioclavicular plate seems to be a good option for Rockwood type Ⅲ、 Ⅴ acromioclavicular joint dislocation.