An Observation Of Curative Effect For Treating The Dislocation Of Acromioclavicular Joint Using The Vertical Double Acockbill Fixation Which Based On "the Anchoring Principle" With The Help Of "Xuefu Zhuyu Tang Jiajian"

Objective:Explore the stability of the acromioclavicular joint (AC joint) under the new operation of vertical double suspension fixation which uses double Endubutton system and estimate it’s clinical efficacy. Meanwhile discuss that if Xuefu Zhuyu Tang Jiajian can promote the recovery of the shoulder joint. Hope to provide more clinical evidence for the application of this new operation and Xuefu Zhuyu Tang Jiajian.Methods:Under clinical research, we chose 22 cases between Rockwood III to V and divided them into two groups randomly,10 cases in control group and 12 cases in experimental group.Both two groups use the new operation to treat the dislocation of AC joint. But the experimental group drinks Xuefu Zhuyu Tang Jiajian after operation. Their periods of treatment last 8 months. But drinking decoction lasts one month. We use the Constant-Murley score (CMS) and Karlsson standard to evaluate the function of the shoulder joint under the new operation and the differences between two groups to assess the clinical effects of the new operation and if drinking decoction can promote the recovery of the shoulder joint.Results:After the therapy, we evaluate the function of their shoulder joints after 2-months,5-months and 8-months follow-up. We find out that each case had achieved a good therapeutic effect, Karlsson is obviously better than the standard after operation. This proves that the new operation has a strong practicability in clinical practice. Meanwhile, the statistics result of the CMS score of two groups show that P<0.05 after 2-months follow-up. Difference was statistically significant. This means that drinking Xuefu Zhuyu Tang Jiajian can promote the recovery of the shoulder joint.Conclusion:Based on the Anchor Moored Positioning Principle, the new operation for treating the AC joint dislocation (Rockwood Ⅲ to Ⅴ) which using double Endobutton cable system to reconstruct the AC and coracoclaviculare ligaments respectively, can efficiently improve the stability of the shoulder joint, shorten the patients’ hospital stays and ease their financial and psychological burden. Drinking Xuefu Zhuyu Tang Jiajian after operation can promote the recovery of the shoulder joint and shorten healing time.