关节镜辅助下同种异体肌腱解剖重建喙锁韧带治疗肩锁关节脱位(Rockwood Ⅲ～Ⅴ型)的临床效果

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Abstract Objective To explore the clinical effect of arthroscopically assisted allograft tendon anatomic reconstruction of coracoclavicular ligament in the treatment of acromioclavicular joint dislocation(Rockwood type Ⅲ-Ⅴ).Methods Eighty-four patients with acromioclavicular joint dislocation treated in Fengcheng People′s Hospital from June 2018 to January 2020 were retrospectively selected as research subjects,and were divided into the routine group(n=42)and the observation group(n=42)according to the treatment.The observation group was given arthroscopically assisted allograft tendon anatomic reconstruction of coracoclavicular ligament,and the routine group was given open reduction and hook plate fixation.The upper limb function,shoulder joint function and pain degree of the two groups were compared.Results The disability of arm shoulder and hand(DASH)at 3 days and 6 weeks after treatment in the observation group were lower than those in the routine group,and the shoulder joint function scores(Constant-Murley)in the observation group were higher than those in the routine group,the differences were statistically significant(P＜0.05).The visual analogue scale(VAS)scores at 3 days and 6 weeks after treatment in the observation group were lower than those in the routine group,the differences were statistically significant(P＜0.05).There were no statistically significant differences in the DASH score,Constant-Murley score,VAS score before treatment and at 6 and 12 months after treatment between the two groups(P＞0.05).During the follow-up period,there was no fixation failure,re-dislocation or allogeneic tendon rejection in the two groups.Conclusion For patients with acromioclavicular joint dislocation,the arthroscopically assisted allograft tendon anatomic reconstruction of coracoclavicular ligament can significantly relieve the pain of patients and improve the function of the shoulder joint,which is worthy of promotion.

Key words： Arthroscope Allograft tendon Reconstruction of coracoclavicular ligament Acromioclavicular joint dislocation

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	Articles by authors
	XIONG Guo-an
	XIE Jing-bo
	XIAO Yi-bing
	XIONG Jun-wei
	DING Chao

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XIONG Guo-an,XIE Jing-bo,XIAO Yi-bing, et al. Clinical effect of arthroscopically assisted allograft tendon anatomic reconstruction of coracoclavicular ligament in treatment of acromioclavicular joint dislocation(Rockwood type Ⅲ-Ⅴ)[J]. 中国当代医药, 2021, 28(27): 94-97.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I27/94

[9]	应辉，王思辉.全关节镜下双Endobutton 纽扣钢板固定技术在急性肩锁关节脱位重建喙锁韧带患者治疗中的应用价值分析[J].临床和实验医学杂志，2019，18（7）：77-79.
[10]	宋鑫，买买提沙吾提阿吉·买买提，伊力哈木·托合提，等.Endobutton 钢板与锁骨钩钢板治疗肩锁关节脱位优良率及并发症的Meta 分析[J].中国组织工程研究，2018，22（3）：478-485.
[11]	崔红林，郭标，李超，等.喙锁韧带重建联合肩锁关节修复治疗急性RockwoodⅤ型肩锁关节脱位[J].中国骨与关节损伤杂志，2018，33（7）：749-751.
[12]	吴国明，王雨辰，俞伟忠.双尾TightRope 系统与锁骨钩钢板内固定治疗RockwoodⅣ、Ⅴ型肩锁关节脱位的疗效比较[J].中国骨与关节损伤杂志，2018，33（9）：982-984.
[13]	陈孙裕，李坚，肖展豪，等.高强度线减张下自体半腱肌腱重建喙锁韧带治疗老年患者肩锁关节脱位的临床疗效[J].中华全科医学，2018，16（6）：998-1000.
[14]	向珊珊，傅明，张志奇，等.关节镜下自体或同种异体肌腱移植修复急性和陈旧性前交叉韧带损伤：重建效果评价[J].中国组织工程研究，2018，22（26）：4174-4178.
[1]	刘凡凡，刘朝阳，徐毅，等.可调悬吊钛板微创治疗完全性肩锁关节脱位的疗效[J].实用骨科杂志，2018，24（11）：66-68.
[2]	章亚青，万小梅，朱莎，等.关节镜下改良Endobutton 结合锚钉治疗肩锁关节脱位的标准化康复与护理[J].西部中医药，2018，31（4）：123-126.
[3]	王古衡，李双，陈亚兰，等.同种异体肌腱重建韧带技术与Endobutton 技术治疗肩锁关节脱位的疗效比较[J].中华手外科杂志，2020，36（2）：99-102.
[4]	刘俊，危蕾，吴波，等.两种不同锁骨钩置钩法在Rock-WoodⅢ，Ⅳ，Ⅴ型肩锁关节脱位治疗中的比较分析[J].中华肩肘外科电子杂志，2020，8（3）：209-214.
[5]	廖春丽，王聪，周欣，等.DASH 简式评分表中文版应用于乳腺癌病人上肢功能障碍评价研究的信效度检验[J].护理研究，2014，28（28）：129-131.
[6]	张明，周敬杰，翟宏伟，等.肩胸关节运动训练对肩袖损伤术后肩关节功能的影响[J].中国康复，2015，8（2）：128-130.
[7]	王兆飞，孙以光，陶海荣.微创双切口解剖重建喙锁韧带手术治疗老年肩锁关节完全脱位[J].中国骨与关节损伤杂志，2018，33（9）：987-989.
[15]	宋升，孙振中，印飞，等.钩钢板结合自体肌腱重建喙锁韧带与单纯钩钢板固定治疗肩锁关节脱位的比较[J].中国组织工程研究，2018，22（15）：65-70.
[8]	许玉林，卓乃强，毛海郦.关节镜辅助下Endobutton 钢板固定取掌长肌腱韧带重建治疗肩锁关节脱位[J].重庆医学，2018，47（4）：492-493.