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Clinical Research And Application Of Double Endobutton Technique On Treating Tossy â…¢ Acromioclavicular Joint Dislocation

Posted on:2014-08-10Degree:MasterType:Thesis
Country:ChinaCandidate:W H ZhengFull Text:PDF
GTID:2254330425467076Subject:Fractures of TCM science
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Purpose:To explore the effect of double Endobutton technique for the treatment of Tossytype III acromioclavicular joint dislocaiton,we want to ifnd out an effective ideal treatmentmethods for Tossy III acromioclavicular joint dislocation.Methods:Put iffty-eight patients with Tossy type III acromioclavicular dislocationaccording with the criteria were treated with two different ifxation: double Endobutton plate(28cases) and clavicular hook plate(30cases),The indexes atperioperation and hospital stay,the postoperative complications and clinical outcomes were statistically compared.Results:All of patients were followed up for3to14months(average12months),thedouble Endobutton group resulted in a shorter incision length, and there were less operationduration in clavicularhook plate group. There were no statistical differences in duration ofhospital stay, blood loss,total cost between the two groups. According to the scales ofKarlsson,in Endobutton group A class23cases, B level4cases, C level in1cases, theexcellent good rate is96.4%,and in clavicular hook plate group A class19cases, B leve9cases, C level in2cases, the excellent good rate is93.3%.Though there was no statisticaldifference of total good and fair between the two groups,but Endobutton group is obviouslyhigher than clavicular hook plate group (P <0.05).Conclusion:The double Endobutton technique is effective in treating Tossy IIIacromioclavicular joint dislocation in a short term,and its long term effects still need furtherfollow up. However,double Endobutton technique featured with less pain followed operationand less interference with the joint function. Meanwhile,for its’ less invasion and goodbiocompatibility,double Endobutton can be retained in body and does not need to be removed.In a word,double Endobutton technique is an effective ideal treatment methods for Tossy IIIacromioclavicular joint dislocation.
Keywords/Search Tags:acromioclavicular joint dislocation double Endobutton, Clinical Research, Application
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