| 改良Double-Endobutton技术并Nice结治疗Rockwood Ⅲ-Ⅴ型肩锁关节脱位 |
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投稿时间：2019-10-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 马中兴 |
MA Zhong-xing |
张家港市第六人民医院, 江苏 苏州 215600 |
Zhangjiagang Sixth People's Hospital, Suzhou 215600, Jiangsu, China |
qaxmzx@163.com |
| 杜银华 |
DU Yin-hua |
张家港市第六人民医院, 江苏 苏州 215600 |
Zhangjiagang Sixth People's Hospital, Suzhou 215600, Jiangsu, China |
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| 吴栋 |
and WU Dong |
张家港市第六人民医院, 江苏 苏州 215600 |
Zhangjiagang Sixth People's Hospital, Suzhou 215600, Jiangsu, China |
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| 期刊信息：《中国骨伤》2020年，第33卷，第8期，第703-706页 |
| DOI：10.12200/j.issn.1003-0034.2020.08.003 |
| 基金项目: |
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中文摘要:目的：探讨改良Double-Endobutton技术联合Nice结修复肩锁韧带治疗Rockwood Ⅲ-Ⅴ型肩锁关节脱位的临床疗效。
方法：自2016年3月至2019年1月采用改良Double-Endobutton技术重建喙锁韧带联合Nice结修复肩锁韧带治疗23例Rockwood Ⅲ-Ⅴ型肩锁关节脱位患者，其中男18例，女5例；年龄31~53（43.2±5.4）岁；左侧9例，右侧14例；受伤至手术时间为1~10 d。术前均行双侧肩关节正位X线片及患肩关节CT三维重建，术后观察患者并发症情况，术后6个月时采用DASH及Constant-Murley评分评估治疗效果。
结果：术后切口均Ⅰ期愈合，无血管、神经损伤及应力性骨折等并发症发生。所有患者获得随访，时间6~24（12.0±4.9）个月。术后6个月随访时DASH评分0.40±0.10较术前19.80±4.50降低；Constant-Murley评分94.20±4.20较术前38.60±3.90提高。
结论：采用改良Double-Endobutton技术并Nice结治疗Rockwood Ⅲ-Ⅴ型肩锁关节脱位早期临床疗效满意，远期疗效和并发症需进一步随访。 |
| 【关键词】肩锁关节 肩脱位 韧带 内固定器 |
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| Modified Double-Endobutton technique combined with Nice knot in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation |
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ABSTRACT Objective: To explore the clinical effect of the modified double Endobutton technique combined with Nice node in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation.
Methods: From March 2016 to January 2019,23 patients with Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation were treated with modified double Endobutton technique to reconstruct coracoclavicular ligament and Nice node to repair acromioclavicular ligament,including 18 males and 5 females,aged 31 to 53 (43.2±5.4) years,9 on the left and 14 on the right,and the time from injury to operation was 1 to 10 days. Before operation,X-ray films and CT three-dimensional reconstruction of bilateral shoulder joint were performed. Postoperative complications were observed. Six months after operation,DASH and Constant-Murley scores were used to evaluate the treatment effect.
Results: The incision healed in one stage after operation,and no complications such as vascular and nerve injury and stress fracture occurred. All patients were followed up for 6 to 24(12.0±4.9) months. At 6 months follow-up,the DASH score was 0.40±0.10 lower than that of 19.80±4.50 before operation,and the Constant-Murley score was 94.20±4.20 higher than that of 38.60±3.90 before operation.
Conclusion: The treatment of Rockwood Ⅲ-Ⅴ dislocation of acromioclavicular joint with double Endobutton technique and nice knot is satisfactory in the early stage. The long-term effect and complications need further follow-up. |
| KEY WORDS Acromioclavicular joint Shoulder dislocation Ligaments Internal fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 马中兴,杜银华,吴栋.改良Double-Endobutton技术并Nice结治疗Rockwood Ⅲ-Ⅴ型肩锁关节脱位[J].中国骨伤,2020,33(8):703~706 |
| 英文格式: | MA Zhong-xing,DU Yin-hua,and WU Dong.Modified Double-Endobutton technique combined with Nice knot in the treatment of Rockwood Ⅲ-Ⅴ acromioclavicular joint dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(8):703~706 |
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