Endobutton带袢钢板内固定与锁骨钩钢板内固定治疗RockwoodⅢ型肩锁关节脱位的中长期疗效观察

目的探讨Endobutton带袢钢板内固定与锁骨钩钢板内固定手术治疗Rockwood Ⅲ型肩锁关节脱位的中长期临床疗效。 方法回顾性分析自2015年1月至2017年12月在中山市中医院关节科诊治为Roockwood Ⅲ型肩锁关节脱位并行手术治疗的患者，入选病例74例，其中采用Endobutton带袢钢板内固定（Endobutton钢板组）25例、采用锁骨钩钢板内固定（锁骨钩钢板组）49例。随访观察比较两组患者视觉模拟评分法、肩关节功能评分、肩关节功能优良率以及并发症发生率的差异。 结果视觉模拟评分方面，两组差异无统计学意义（P>0.05）；肩关节功能评分（Constant-Murley评分）、肩关节功能优良率以及并发症发生率方面，Endobutton钢板组均明显优于锁骨钩钢板组，且差异具有统计学意义（P< 0.05）。 结论本研究随访的研究患者中，采用Endobutton带袢钢板内固定手术治疗Rockwood Ⅲ型脱位中长期治疗效果较好，术后并发症较少，是治疗肩锁关节Rockwood Ⅲ型脱位较好的方法，值得在临床推广应用。

Endobutton internal fixation with loop plate and clavicular hook plate for the treatment of acromioclavicular dislocation of type Rockwood III

BackgroundThe Endobutton technique for coracoclavicular ligament reconstruction does not require removal of the internal material and the surgical incision is small. Previous studies have shown that the use of Endobutton can achieve satisfactory short-term results. However, there is still a lack of clinical data to provide vital medical evidence for the long-term follow-up. Objective To investigate the long-term clinical effect of Endobutton internal fixation with loop plate and clavicular hook plate in treating Rockwood III acromioclavicular dislocation. MethodsFrom January 2015 to December 2017,74 patients with Rockwood Type III acromioclavicular joint dislocation were retrospectively analyzed. The Endobutton was fixed with a loop plate in 25 cases and a clavicular hook plate in 49 cases. Differences in visual simulation score, shoulder function score, excellent and good rate of shoulder function, and complications between the two groups were observed and compared. ResultsThere was no significant difference between the two groups in visual simulation score, shoulder function score (Constant-Murley score) , excellent and good rate of shoulder function, or incidence of complications (P>0.05) . The Endobutton group was significantly superior to the clavicular hook plate group (P<0.05) . ConclusionEndobutton internal fixation with loop plate is a suitable method for treating Rockwood III dislocation with better long-term results and fewer postoperative complications. It is worth popularizing and applying in the clinic.