文章摘要
施利华,李恒,郭攀,张占丰.斜方韧带和锥状韧带走行方向对肩锁关节脱位治疗的价值[J].中国临床保健杂志,2019,22(5):660-663.
斜方韧带和锥状韧带走行方向对肩锁关节脱位治疗的价值
The value of oblique ligament and conical ligament in the treatment of acromioclavicular joint dislocation
投稿时间:2019-05-11  
DOI:10.3969/J.issn.1672-6790.2019.05.023
中文关键词: 关节脱位  肩锁关节  韧带  功能恢复
英文关键词: Joint dislocations  Acromioclavicular joint  Ligaments  Recovery of function 〖FL
基金项目:浙江省自然科学基金(LY14H060001)
作者单位E-mail
施利华 浙江湖州市第一人民医院骨科,313000 shilihua1010@163.com 
李恒 浙江湖州市第一人民医院骨科,313000  
郭攀 浙江湖州市第一人民医院骨科,313000  
张占丰 浙江湖州市第一人民医院骨科,313000 13717782@qq.com 
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中文摘要:
      目的 探讨斜方韧带和锥状韧带走行方向对肩锁关节脱位治疗的价值。方法 选取单侧肩锁关节脱位患者66例,根据术中采用固定方式的不同分为观察组33例(采用异体肌腱重建斜方韧带和锥状韧带固定)、对照组33例(采用锁骨钩钢板固定),比较患者肩关节功能恢复、疼痛度等情况。结果 观察组和对照组的术中出血量、手术时间、住院时间分别为(60.4±35.1)mL、(65.4±20.3)min、(18.5±3.5)d和(95.3±38.5)mL、(82.5±23.7)min、(22.5±4.0)d;观察组肩关节功能、疼痛度评分分别为(6.89±0.87)分、(2.70±1.33)分,对照组分别为(6.85±0.85)分、(5.05±1.35)分,组间比较,P<0.05。观察组无复发情况,2例术后疼痛;对照组3例取钢板后再次脱位,并发症10例(疼痛5例、疼痛合并感染3例、肩峰撞击症2例);两组并发症比较,P<0.05。观察组治疗总有效31例(93.94%),无效2例(6.06%);对照组总有效21例(63.64%),无效12例(36.36%),组间比较,P<0.05。结论 通过斜方韧带和锥状韧带重建对肩锁关节脱位进行固定的治疗效果较佳,可促进肩关节的功能恢复,缩短住院时间,并发症少。
英文摘要:
      Objective To explore the value of oblique ligament and conical ligament in the treatment of acromioclavicular joint dislocation.Methods A total of 66 patients with unilateral shoulder dislocation were selected.According to the different fixation methods,33 cases were treated with allogeneic tendon to reconstruct the orthorhombic ligaments and the conical ligament fixation,the control group of 33 cases using clavicular hook plate fixation.Observation of patients with shoulder joint function recovery,pain and so on.Results The intraoperative blood loss,operation time and hospitalization time of the observation group and the control group were (60.4±35.1)mL,(65.4±20.3)min,(18.5±3.5)d and (95.3±38.5)mL,(95.3±38.5)mL,(82.5±23.7)min,(22.5±4.0)d.The shoulder joint function and pain rating of the observation group were (6.89±0.87)points,(2.70±1.33)points,the control group were (6.85±0.85) points,(5.05±1.35)points,P<0.05 between the groups.There were no recurrence in the observation group,2 cases of postoperative pain,3 cases of recurrence in the control group,10 cases of complications (5 cases of pain,3 cases of pain combined with infection,2 cases of acromiocre),the above indicators between the groups,P<0.05.There were 21 cases (63.64%) in the control group and 12 cases (36.36%).The difference was between the control group and the control group (P<0.05).Conclusion The treatment of acromioclavicular joint dislocation is better by orthorhombic ligament and conical ligament reconstruction.It can promote the function recovery of shoulder joint,shorten the hospitalization time,and have less complications and suitable for clinical promotion.
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