新型双Endobutton袢钢板联合关节镜治疗锁骨远端Neer IIB型骨折的临床分析

doi:10.13418/j.issn.1001-165x.2017.04.015

Abstract

Abstract:

Objective The aim of this study was to assess the effect of a novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures. Methods We retrospectively analysized 40 patients with Neer type IIB distal clavicle fractures .They were randomly divided into 2 groups: one was the novel double-endobutton group (A, 20 patients), the other hook plate group (B, 20 patients). The measurement of CMS, VAS scores and incision length, blood loss were employed to assess the outcome of two groups. Result (1) The specific values were as follows: incision length:(2.99±0.71) cm, (6.10±0.98) cm (P<0.05); the blood loss: (53.50±4.82) ml, (95.50±6.69) ml (P<0.05); (2) For CMS part, the A group was significantly better than group B 1 month after surgery (P<0.05); compared with group B, the post-op 1 month and 1 year VAS Scores were significantly better (P<0.05), the preoperative and 6 months were with no statistical difference. Conclusion The novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures is a minimally invasive strategy with better clinical outcomes, which has lots of advantages including a short incision, less bleeding, lower cost, early functional exercise and without a second operation.

Key words: Neer type IIB distal clavicle fracture; , A novel double-endobutton; , Hook plate; , Arthroscopy

LIU Gang, ZHANG Lei, ZHANG Bao-lu, WANG Guo-you, ZHOU Xing, GUAN Tai-yuan, GUO Xiao-guang, FU Shi- jie. A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(4): 431-436.

References

[1] Dedeo?lu SS , ?mren Y, Çabuk H, et al. Results of minimal invasive coracoclavicular fixation by double button lift-up system in Neer type II distal clavicle fractures[J]. J Orthop Surg (Hong Kong), 2017, 25(1): 1-7.
[2] Choi S, Kim SR, Kang H, et al. Modified tension band fixation and coracoclavicular stabilisation for unstable distal clavicle fracture[J]. Injury, 2015, 46(2): 259-264.
[3] Banerjee R, Waterman B, Padalecki J, et al. Management of distal clavicle fractures[J]. J Am Acad Orthop Surg, 2011, 19(7): 392-401.
[4] Shin SJ, Ko YW, Lee J, et al. Use of plate fixation without coracoclavicular ligament augmentation for unstable distal clavicle fractures[J]. J Shoulder Elbow Surg, 2016, 25(6):942-948.
[5] Lenza M, Faloppa F. Surgical interventions for treating acute fractures or non-union of the middle third of the clavicle[J]. Cochrane Database Syst Rev, 2015, 5: CD007428.
[6] Tiefenboeck TM , Boesmueller S , Binder H, et al. Displaced Neer Type IIB distal-third clavicle fractures-Long-term clinical outcome after plate fixation and additional screw augmentation for coracoclavicular instability[J]. BMC Musculoskelet Disord, 2017, 18(1): 30.
[7] Chen CY, Yang SW, Lin KY, et a1. Comparison of single coracoclavicular suture fixation and hook plate for the treatment of acute unstable distal clavicle fractures[J]. J Orthop Surg Res, 2014, 9(1): 95-108.
[8] Brinker MR, Edwards TB, O'Connor DP. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture[J]. J Bone Joint Surg Am, 2005, 87(3): 676-677.
[9] Fann CY, Chiu FY, Chuang TY, et a1. Transacromial Knowles pin in the treatment of Neer type 2 distal clavicle fractures A prospective evaluation of 32 cases[J]. J Trauma, 2004, 56(5): 1102-1105.
[10]Tan L, Sun DH, Yu T, et a1. Death due to intra-aortic migration of kirschner wire from the clavicle: a case report and review of the literature[J]. Medicine (Baltimore), 2016, 95(21): e3741.
[11]Mechchat A , Elidrissi M , Shimi M, et a1. Neer type II distal clavicle fractures: hook plate versus transacromial pin[J]. Pan Afr Med J, 2015, 20: 105.
[12]Souza Vilela JC, de Andrade RP, Jacques Gonçalves LB, et a1. Fractures of the distal clavicle: comparison between two surgical treatment methods[J]. Rev Bras Ortop, 2015, 50(2): 136-141.
[13]Struhl S, Wolfson TS. Closed-loop double endobutton technique for repair of unstable distal clavicle fractures[J]. Orthop J Sports Med, 2016, 4(7): 2325967116657810.
[14]Baumgarten K, Kuhn J , Dunn W, et a1. Intra- and interobserver agreement in the classification and treatment of distal third clavicle fractures [J]. Am J Sports Med, 2015 ,43 (4): 979-984.
[15]汪鹏, 董宏然. 锁骨远端骨折的治疗进展[J]. 中国矫形外科杂志, 2014, 24(22): 2071-2074.
[16] Kanchanatawan W , Wongthongsalee P. Management of acute unstable distal clavicle fracture with a modified coracoclavicular stabilization technique using a bidirectional coracoclavicular loop system[J]. Eur J Orthop Surg Traumatol, 2016,6(2): 139-143.
[17]Struhl S. Double endobutton technique for repair of complete acromioelavicular joint dislocations[J]. Tech Shoulder Elbow Surg, 2007, 8(4): 175-179.
[18] 师寅, 郑欣邱, 旭升, 等. 肩锁钩钢板治疗锁骨NeerⅡ型骨折疗效及并发症分析[J]. 实用骨科, 2014, 22(8): 745-747.
[19]Chaudry SN , Waseem M. Clavicular hook plate: complications of retaining the implant [J]. Injury, 2006, 37(7): 665.
[20]Gu X , Cheng B , Sun J, et a1. Arthroscopic evaluation for omalgia patients undergoing the clavicular hook plate fixation of distal clavicle fractures[J]. J Orthop Surg Res, 2014, 9(1):18-30.
[21]Bishop JY, Roesch M, Lewis B, et a1. A biomechanical comparison of distal clavicle fracture reconstructive techniques[J]. Am J Orthop (Belle Mead NJ), 2013, 42(3): 114-118.
[22]Kim YS , Yoo YS , Jang SW, et a1. In vivo analysis of acromioclavicular joint motion after hook plate fixation using three-dimensional computed tomography [J]. J Shoulder Elbow Surg, 2015, 24(7): 1106-1111.
[23]Zhu YY , Cui HY , Jiang PQ, et a1. Complications of treatment of acromioclavicular joint dislocation and unstable distal clavicular fracture with clavicular hook plate[J]. Zhongguo Gu Shang, 2013, 26(11): 927-931.
[24]Zhang C , Huang J, Luo Y, et al. Comparison of the efficacy of a distal clavicular locking plate versus a clavicular hook plate in the treatment of unstable distal clavicle fractures and a systematic literature review[J]. Int Orthop, 2014 ,38(7): 1461-1468.
[25]Tan HL, Zhao JK, Qian C, et a1. Clinical results of treatment using a clavicular hook plate versus a T-plate in neer type II distal clavicle fractures[J]. Orthopedics, 2012 ,35(8): e1191-1197.
[26] ?ükür E , Öztürkmen Y , Akman YE, et a1. Clinical and radiological results on the fixation of Neer type 2 distal clavicle fractures with a hook plate[J]. Acta Orthop Traumatol Turc, 2016, 50(5): 489-493.

A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	Zhuang Wanqiang, Tang Yi, Luo Yonggang, Zhang Hui. An early and mid-term retrospective study of the effects of arthroscopy combined with high tibial osteotomy on patellar position and patellofemoral joint function [J]. Chinese Journal of Clinical Anatomy, 2024, 42(1): 77-82.
[2]	Wang Xin, Ma Chao, Huang Jinyong, Xie Zengru. Classification of synovial plica of knee joint and diagnosis and treatment of synovial plica syndrome [J]. Chinese Journal of Clinical Anatomy, 2023, 41(5): 627-630.
[3]	Li Ming, Jia Bingshen, Jiao Tuo, Zhang Ying, Fu Kun. Effect of non-whole time tourniquet application on perioperative outcomes of arthroscopic combined high tibial osteotomy [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 475-480.
[4]	Yin Shuai , Liu Yuanyuan , Pang Yin , Sui Yuelin, Zhang Xinyue, Li Bing, Chen Yajun. Postoperative effect and influencing factors of the reconstruction of the anterior cruciate ligament with four hamstring tendon autograft under arthroscopy [J]. Chinese Journal of Clinical Anatomy, 2022, 40(5): 592-598.
[5]	Li Bingkun, Zhang Lei, Xia Zhangrong, Zhou Xin, Tang Xiaogao, Fu Shijie, Wang Guoyou, Huang Wenhua. Clinical effect analysis of reconstruction of posterior cruciate ligament from personal tendon under arthroscopy [J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 466-470.
[6]	Ge Xinjiang, You Jianjun, Liu Xiaofeng, Ma Ying. Efficacy and prognosis of arthroscopic-assisted MIPPO technique in the treatment of elderly Schatzker II-III tibial plateau fractures [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 342-345.
[7]	CHEN Wei-xiong, XUE Hou-jun, LIU Qing-hua, PAN Lei. Clinical effect of different arthroscopic repairs on rotator cuff injury [J]. Chinese Journal of Clinical Anatomy, 2020, 38(1): 73-77.
[8]	LIU Yang, LIANG Tao, ZHANG Lei, LIU Gang, YI Gang, GUO Xiao-guang, ZHOU Xin, FU Shi-jie. Clinical analysis of a 3D-printing technique assisted with opening wedge high tibial osteotomy combined with arthroscopy in the treatment of knee varus deformity [J]. Chinese Journal of Clinical Anatomy, 2020, 38(1): 67-72.
[9]	JIA Chuan, XU Jian-da, XIE Zi-kang, QU Yu-xing. Gluteal muscle contracture release combined with patellar reticulum tension reconstruction for the treatment of springing hip combined with anterior knee pain [J]. Chinese Journal Of Clinical Anatomy, 2018, 36(6): 683-689.
[10]	LI Jie, LI Fei-long, FENG Wen-jun, ZENG Jian-chun, CHEN Jin-lun, ZENG Yi-rong. Short-medium outcomes of the head-acetabularplasty efficacy in the treatment of femoroacetabular impingement (FAI) with hip arthroscopy [J]. Chinese Journal Of Clinical Anatomy, 2018, 36(5): 578-581.
[11]	PAN Zhao-xun, DU De-kai, DU Ben-cai, SUN Chao, YANG Xiao-ming, MIN Xiao-jun . Digital technology assisted arthroscopic individualized greater tuberosity plasty for treatment of subacromial impingement syndrome [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(6): 684-687.
[12]	HUANG Yuan-xia, XU Hai-bin，TAO Jin-gang， MING Hai-wu. Comparison of retaining ligament stump and non-reserving stump on anterior cruciate ligament reconstruction by arthroscopy [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(5): 564-566.
[13]	LIU Hai-long, DING Jing, GAN Yu-dong. The early diagnosis of knee dislocation and its minimally invasive treatment methods [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(5): 559-563.
[14]	HUANG Yuan-xia, DUAN Yong-zhuang, WANG Li-min, XU Hai-bin. Curative effect of recurrent patellar dislocation through arthroscopic lateral retinacular release combined with medial patellofemoral ligament reconstruction [J]. Chinese Journal Of Clinical Anatomy, 2017, 35(1): 102-105.
[15]	DIAO Liang, WANG Xi-Juan, FAN Shi-Cai, JIN Da-De, CA Dao-Zhang. Arthroscopic treatment of patellar dislocation by medial retinacular reefing and lateral retinacular release [J]. Chinese Journal of Clinical Anatomy, 2014, 32(1): 88-92.