LIU Guanghua ② , WANG Zhen ③ , WANG Jianjian, WANG Fumin
(Dept. of Orthopedic Surgery, the 988 th Hospital of the People′s Liberation Army Joint Logistic Support Force, Zhengzhou 450000, China)
Abstract Objective: To investigate the effect of small incision reduction Tight Rope button plate internal fixation on patients with Rockwood Ⅲ acromioclavicular dislocation. Methods: 89 cases of patients with Rockwood Ⅲ acromioclavicular dislocation were randomized into two groups according to the table of random digit. 44 cases in the control group received clavicular hook plate internal fixation, while another 45 cases in the observation group adopted small incision reduction Tight Rope button plate internal fixation. The operative related indexes, shoulder joint function, pain degree, traumatic stress indexes and complication rate were observed between patients in the two groups. Results: The operation related indexes in the observation group were better than those in the control group, and the amount of intraoperative blood loss was less than that in the control group, the differences were statistically significant (P<0.05). After operation, CMS scores in the observation group were higher than those in the control group (P<0.05); the VAS score of the observation group was lower than that of the control group after 1 d, 3 d, 7 d of surgery (P<0.05). One day after operation, Cor and ACTH in both groups was increased, and those in the observation group was lower than those in the control group (P<0.05). The complication rate of the observation group was 6.67 % , lower than 20.45 % of the control group (P<0.05). Conclusion: Small incision reduction Tight Rope button plate internal fixation in the treatment of Rockwood Ⅲ acromioclavicular dislocation can decrease the surgical trauma, shorten the surgical time, reduce the degree of pain and its security is better.
Keywords: Tight Rope button plate internal fixation; Rockwood Ⅲ; acromioclavicular dislocation; traumatic stress
DOI:10.19296/ j.cnki.1008-2409.2023-01-020
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