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首页> 外文期刊>International Journal of Medical Sciences >Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate
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Clinical Effect of Acute Complete Acromioclavicular Joint Dislocation Treated with Micro-Movable and Anatomical Acromioclavicular Plate

机译：微动式解剖型肩锁钢板治疗急性完全性肩锁关节脱位的临床疗效

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Objectives: We evaluated the long-term clinical results of acute complete acromioclavicular dislocations treated with micro-movable and anatomical acromioclavicular plate. Methods: Open reduction and internal fixation was performed using the MAAP in 16 patients (10 males, 6 females; mean age 36 years; range16 to 63 years) with acute complete acromioclavicular joint dislocation. Radiographic evaluations were routinely conducted every 3 weeks until 3 months postoperatively. The MAAP were removed under local anesthesia after 3 months postoperatively. We evaluated the functional results by using the constant scoring system and radiological results in the last follow-up time. The mean follow up was 26 months (range 16 to 38 months). Results: The mean Constant score was 94 (range, 78 to 100). The results were excellent in 12 patients (75.0%), good in 3 patients (18.8%) and satisfactory in 1patient (6.2%). Three patients with scores of 80 to 90 had mild pain during activity, but have not affected the shoulder range of motion. One patient has both some pain and limited range of motion of shoulder joint. All patients but one have returned to their preoperative work without any limitations. Compared to the contralateral side, radiography showed anatomical reposition in the vertical plane in 14 cases, slight loss of reduction in 2 older patients. Conclusion: We recommend the MAAP fixation for surgical treatment of acute complete acromioclavicular joint dislocation as it could provide satisfactory shoulder functions and clinical results, with lower complication rate. However, it is necessary to continue to observe the clinical effects of this fixation technique.
机译：目的：我们评估了可移动的解剖型肩锁钢板治疗急性完全肩锁关节脱位的长期临床结果。方法：对16例急性完全性肩锁关节脱位的患者（男10例，女6例;平均年龄36岁;范围16至63岁）进行MAMA切开复位内固定术。通常每3周进行一次放射学评估，直到术后3个月。术后3个月在局部麻醉下摘除MAAP。我们通过使用恒定评分系统和放射学结果在最后的随访时间内评估了功能结果。平均随访时间为26个月（范围16到38个月）。结果：Constant的平均得分为94（范围从78到100）。结果良好的12例（75.0％），良好的3例（18.8％）和1例的满意（6.2％）。 3例得分在80到90之间的患者在活动期间出现轻度疼痛，但并未影响肩膀的运动范围。一名患者同时感到疼痛和肩关节活动受限。除一名患者外，所有患者均无任何限制地恢复了术前工作。与对侧相比，X线摄影显示14例在垂直平面解剖复位，2例老年患者的复位稍有下降。结论：我们推荐MAAP固定术用于急性完全肩锁关节脱位的手术治疗，因为它可以提供满意的肩部功能和临床效果，并降低并发症发生率。但是，有必要继续观察这种固定技术的临床效果。

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