2023年2月第30卷第2期改良锁骨钩钢板固定治疗急性肩锁关节脱位的效果陈耀山，董兆君（河南省舞阳县人民医院骨科，河南漯河462400）【摘要】目的探讨改良锁骨钩钢板固定治疗急性肩锁关节脱位的效果。方法选取2018年6月至2021年6月我院收治的90例急性肩锁关节脱位患者，按照入组顺序分为两组各45例。对照组采用传统锁骨钩钢板内固定治疗，观察组采用改良锁骨钩钢板固定治疗。比较两组的手术相关指标、疼痛评分、肩关节功能。结果两组的手术时间、术中出血量比较，差异无统计学意义（P＞0．05）。观察组术后3d、术后6个月的VAS评分均低于对照组（P＜0．05）；术后6个月，观察组的喙缘间隙小于对照组（P＜0．05）。术后3个月、术后6个月、术后12个月，观察组的Constant－Murly评分均高于对照组（P＜0．05）。结论改良锁骨钩钢板固定治疗急性肩锁关节脱位的效果较好，可减轻患者术后疼痛感，利于肩关节功能的恢复。【关键词】改良锁骨钩钢板固定；急性肩锁关节脱位；疼痛；肩关节功能中图分类号：R687文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0219EffectofModifiedClavicularHookPlateFixationintheTreatmentofAcuteAcromioclavicularJointDislocationCHENYaoshan,DONGZhaojun(DepartmentofOrthopaedics,thePeople'sHospitalofWuyangCounty,Luohe462400,China)[Abstract]ObjectiveToexploretheeffectofmodifiedclavicularhookplatefixationinthetreatmentofacuteacromioclavicularjointdislocation.Methods90patientswithacuteacromioclavicularjointdislocationadmittedtoourhospitalfromJune2018toJune2021wereselectedanddividedintotwogroupsaccordingtotheorderofadmission,with45casesineachgroup.Thecontrolgroupwastreatedwithtraditionalclavicularhookplateinternalfixation,whiletheobservationgroupwastreatedwithmodifiedclavicularhookplatefixation.Theoperationrelatedindicators,painscoreandshoulderjointfunctionwerecomparedbetweenthetwogroups.ResultsNosignificantdifferencewasfoundintheoperationtimeandintraoperativebloodlossamountbetweenthetwogroups(P>0.05).TheVASscoresat3daysand6monthsaftersurgeryoftheobservationgroupwerelowerthanthoseofthecontrolgroup(P<0.05).At6monthsaftersurgery,thebeakmarginspaceoftheobservationgroupwassmallerthanthatofthecontrolgroup(P<0.05).At3months,6monthsand1...
