| Citation: |
LI Bing, YUAN Yabing, YUAN Yanhong, XU Peng, ZHANG Xingzhou, LI Yunfeng. Early clinical effects of a new type of titanium plate in treatment of acromioclavicular joint dislocation[J]. Journal of Clinical Medicine in Practice, 2022, 26(17): 96-99. DOI: 10.7619/jcmp.20221572
|
To evaluate the early clinical effect of a new type of titanium plate combined with titanium cable fixation in the treatment of acromioclavicular joint dislocation.
The clinical data were reviewed in 10 patients with acromioclavicular joint dislocation of Rockwood Type Ⅲ, and were treated by a new type of titanium plate combined with titanium cable fixation. Preoperative and postoperative coracoclavicular distance and acromioclavicular joint space were compared by imaging examination, and the loss of reduction was observed at 1 month, 3 and 6 months after operation were observed. Six months after the operation, the shoulder joint efficacy was evaluated according to the Karlsson evaluation standard of shoulder joint. The Visual Analogue Scale (VAS) and Constant-Murley shoulder joint function score were used to evaluate the shoulder joint function of the patients before operation, 3 and 6 months after operation.
All patients were followed up. Karlsson standard was used for evaluation at 6 months after surgery, the results showed that there were 8 excellent cases, 2 good cases. The preoperative coracoclavicular distance and acromioclavicular joint space significant difference compared with 1 month after operation (P < 0.05). There were no significant differences between the coracoclavicular distance and the acromioclavicular joint space at 1 month, 3 and 6 months after operation (P > 0.05). The VAS scores and Constant-Murley shoulder function scores before operation showed significant differences compared with those at 3 and 6 postoperative months (P < 0.05).
The new steel plate fixation combined with titanium cable fixation can effectively treat Rockwood Ⅲ type acromioclavicular joint dislocation, has less interference to the acromion and shoulder joint, and is simple in operation and firm in fixation, which guides a new direction for the treatment of acromioclavicular joint dislocation.
| [1] |
HANN C, KRAUS N, MINKUS M, et al. Combined arthroscopically assisted coraco-and acromioclavicular stabilization of acute high-grade acromioclavicular joint separations[J]. Knee Surg Sports Traumatol Arthrosc, 2018, 26(1): 212-220. doi: 10.1007/s00167-017-4643-2
|
| [2] |
王增亮, 赵力. Rockwood Ⅲ型肩锁关节脱位分型及治疗策略[J]. 中国组织工程研究, 2018, 22(35): 5694-5699. https://www.cnki.com.cn/Article/CJFDTOTAL-XDKF201835022.htm
|
| [3] |
沈影超, 王强, 缪逸鸣, 等. 基于"锚泊原理"使用纽扣钢板线缆系统治疗肩锁关节脱位[J]. 局解手术学杂志, 2017, 26(7): 526-530. https://www.cnki.com.cn/Article/CJFDTOTAL-JJXZ201707014.htm
|
| [4] |
金翔赟, 沈一凡, 李广翼, 等. 带锚钛缆重建喙锁韧带的生物力学研究[J]. 国际骨科学杂志, 2019, 40(3): 187-190. doi: 10.3969/j.issn.1673-7083.2019.03.013
|
| [5] |
于鹏, 宋展昭, 孙培峰, 等. 肩锁关节韧带功能解剖和生物力学研究[J]. 临床医学工程, 2011, 18(2): 189-190. doi: 10.3969/j.issn.1674-4659.2011.02.0189
|
| [6] |
安玉章, 文雪平, 马剑, 等. 锁骨钩钢板联合双股不可吸收线固定治疗急性Tossy Ⅲ型肩锁关节脱位的临床研究[J]. 创伤外科杂志, 2020, 22(4): 271-274, 279. https://www.cnki.com.cn/Article/CJFDTOTAL-CXWK202004030.htm
|
| [7] |
TANG G, ZHANG Y, LIU Y, et al. Comparison of surgical and conservative treatment of Rockwood type-Ⅲ acromioclavicular dislocation: a meta-analysis[J]. Medicine: Baltimore, 2018, 97(4): e9690. doi: 10.1097/MD.0000000000009690
|
| [8] |
BALKE M, SCHNEIDER M M, AKOTO R, et al. Acute acromioclavicular joint injuries. Changes in diagnosis and therapy over the last 10 years[J]. Unfallchirurg, 2015, 118(10): 851-857. doi: 10.1007/s00113-013-2547-2
|
| [9] |
GRIGOREV I, LAZKO F, PRIZOV A, et al. A comparison of results between hook plate and tightrope for acute acromioclavicular joint dislocation[J]. Georgian Med News, 2020(307): 39-44.
|
| [10] |
XU D, LUO P, CHEN J K, et al. Outcomes of surgery for acromioclavicular joint dislocation using different angled hook plates: a prospective study[J]. Int Orthop, 2017, 41(12): 2605-2611. doi: 10.1007/s00264-017-3611-2
|
| [11] |
SUN S W, GAN M F, SUN H, et al. Does subacromial osteolysis affect shoulder function after clavicle hook plating[J]. Biomed Res Int, 2016, 2016: 4085305.
|
| [12] |
李光明, 杨磊, 千东升, 等. 锁骨钩板治疗肩锁关节脱位术后疼痛的原因与处理[J]. 临床骨科杂志, 2018, 21(2): 228-229. doi: 10.3969/j.issn.1008-0287.2018.02.039
|
| [13] |
郭培义, 谢建鸿, 黄安劲, 等. Tightrope系统与锁骨钩钢板系统治疗肩锁关节脱位的效果比较[J]. 广东医学, 2019, 40(15): 2225-2228. https://www.cnki.com.cn/Article/CJFDTOTAL-GAYX201915024.htm
|
| [14] |
郑秋, 肖世卓, 李宇, 等. 急性肩锁关节脱位手术方式的研究进展[J]. 实用骨科杂志, 2020, 26(7): 620-623. https://www.cnki.com.cn/Article/CJFDTOTAL-SGKZ202007011.htm
|
| [15] |
贾志科, 郭银吉, 尹二成. 跖肌腱重建喙锁韧带联合钩钢板治疗肩锁关节脱位的效果观察[J]. 实用临床医药杂志, 2020, 24(13): 41-43. doi: 10.7619/jcmp.202013012
|
| [16] |
安维军, 孙建斌, 叶鹏, 等. 喙锁韧带重建联合钩钢板固定或缝合锚固定治疗肩锁关节脱位的对比研究[J]. 中华外科杂志, 2013, 51(4): 349-353. doi: 10.3760/cma.j.issn.0529-5815.2013.04.016
|
| [17] |
TUECKING L R, ERDLE B, BERNSTEIN A, et al. Ligamentous healing potential of the acromioclavicular ligament following acute anatomical reconstruction[J]. Arch Orthop Trauma Surg, 2022, 142(9): 2225-2234.
|
| [18] |
MORIKAWA D, DYRNA F, COTE M P, et al. Repair of the entire superior acromioclavicular ligament complex best restores posterior translation and rotational stability[J]. Knee Surg Sports Traumatol Arthrosc, 2019, 27(12): 3764-3770. doi: 10.1007/s00167-018-5205-y
|
| [19] |
卢耀甲, 费文勇, 熊传芝, 等. 缝合锚钉与钩钢板治疗急性肩锁关节脱位的疗效比较[J]. 实用临床医药杂志, 2020, 24(10): 21-24. doi: 10.7619/jcmp.202010005
|
| [20] |
段连鸿, 李刚, 梁栋柱, 等. 肩关节上部悬吊复合体韧带损伤的生物力学研究[J]. 中国骨与关节损伤杂志, 2021, 36(4): 341-343. https://www.cnki.com.cn/Article/CJFDTOTAL-GGJS202104002.htm
|
| [21] |
王晨, 杨娜, 衡立松, 等. 肩锁关节功能解剖及垂直方向的生物力学研究[J]. 中华创伤骨科杂志, 2019, 21(11): 986-990. doi: 10.3760/cma.j.issn.1671-7600.2019.11.010
|
| [22] |
梁振, 冯宗权, 欧阳汉斌, 等. 肩锁关节应用解剖及生物力学研究进展[J]. 中国临床新医学, 2019, 12(5): 577-580. doi: 10.3969/j.issn.1674-3806.2019.05.30
|
© 2020 《实用临床医药杂志》编辑部
Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807
Supported by:
Beijing Renhe Information Technology Co., Ltd.
苏公网安备 32100302010246号
DownLoad: