双 Endobu Endobutton 纽扣钢板和锁骨钩钢板治疗 TossyⅢ型肩锁关节脱位的疗效比较 postprint

Abstract: Objective To explore the clinical efficacy of the double Endobutton plate and Clavicular Hook Plate fixationtreatment for Tossy Ⅲ acromioclavicular joint dislocation. Methods From June 2011 to June 2016, 40 patients of Tossy Ⅲacromioclavicular joint dislocation admitted to the wuxi xishan hospital were enrolled, including 12 males and 8 females, agedfrom 21 to 55 years old with an average age of 33.The time from injury to operation was 1-4 days, averaged 2 days,theapplication of antibiotics was no more than 3 days after operation. They were divided into two groups according to thedifferent methods of operation: double endobutton plate group with 20 cases and clavicular hook plate group with 20 cases.Results Compared with clavicular hook plate group, double endobutton plate group had significant difference in incision,operation time, intraoperative blood loss, shoulder 's function recovery (P<0.05).All patients'incisions were healed well,with noearly complications such as blood vessels and nerves'injury and postoperative infection. The patients were followed up from 3to 24 months, there was no internal fixation loosening and joint dislocation were occured during the follow-up period.Conclusions Double Endobutton technique is an effective method on treatment of Tossy Ⅲ type acromioclavicular jointdislocation with minimal invasive, simple operation and satisfied clinical effect.It is suitable for basic-level hospital.