Clinical study on treatment of Tossy type Ⅲ acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair / 中国医师杂志

ABSTRACT

Objective:The treatment of Tossy type Ⅲ acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair, and to explore its clinical effect.Methods:80 patients with Tossy type Ⅲ acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected. They were randomly divided into control group ( n=39, treated with clavicular hook plate) and study group ( n=41, treated with clavicular hook plate combined with coracoclavicular ligament repair) by number table method. The clinical efficacy at 12 months after operation, related clinical indicators, recovery at 12 months after operation and complications after operation were compared between the two groups. Results:The excellent and good rate was 92.68% in the study group at 12 months after operation, which was higher than 76.92% in the control group ( P<0.05). There were no significant differences in operation time, intraoperative bleeding volume and hospital stay between the study group and the control group ( P>0.05). At 12 months after operation, the abduction activity and flexion activity of the study group were higher than those of the control group, and the visual analogue score (VAS) score was lower than that of the control group ( P<0.05). The incidence of complications in the study group was slightly lower than that in the control group, but there was no significant difference between the two groups ( P>0.05). Conclusions:For Tossy type Ⅲ acromioclavicular joint dislocation, clavicular hook plate combined with coracoclavicular ligament repair has a good clinical effect. It can improve shoulder joint function, alleviate shoulder pain, and have fewer complications. It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.