[1]张宪发,王 晶,刘阔沦,等.国内TightRope与锁骨钩钢板治疗肩锁关节脱位疗效比较的Meta分析[J].医学信息,2024,37(04):42-50.[doi:10.3969/j.issn.1006-1959.2024.04.007]
 ZHANG Xian-fa,WANG Jing,LIU Kuo-lun,et al.Meta-analysis of the Efficacy of TightRope and Clavicular Hook Plate in the Treatment of Acromioclavicular Dislocation in China[J].Journal of Medical Information,2024,37(04):42-50.[doi:10.3969/j.issn.1006-1959.2024.04.007]
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国内TightRope与锁骨钩钢板治疗肩锁关节脱位疗效比较的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年04期
页码:
42-50
栏目:
医学数据科学
出版日期:
2024-02-15

文章信息/Info

Title:
Meta-analysis of the Efficacy of TightRope and Clavicular Hook Plate in the Treatment of Acromioclavicular Dislocation in China
文章编号:
1006-1959(2024)04-0042-09
作者:
张宪发王 晶刘阔沦
(汶上县人民医院骨科二区,山东 汶上 272501)
Author(s):
ZHANG Xian-faWANG JingLIU Kuo-lunet al.
(The Second Department of Orthopedics,Wenshang People’s Hospital,Wenshang 272501,Shandong,China)
关键词:
肩锁关节脱位TightRope锁骨钩钢板肩峰下撞击综合征内固定
Keywords:
Acromioclavicular dislocationTightRopeClavicle hook plateSubacromial impingement syndromeInternal fixation
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2024.04.007
文献标志码:
A
摘要:
目的 探讨TightRope与锁骨钩钢板两种手术方式治疗肩锁关节脱位的效果。方法 检索Cochrane library、PubMed、中国知网、维普、万方数据库,时间限定为建库至2023年5月,收集所有中国作者有关TightRope与锁骨钩钢板治疗肩锁关节脱位的文献,按纳入与排除标准筛选文献,提取资料后进行分析,筛选出符合要求的文献,并进行严密的质量评估,由RevMan 5.4软件对所有结果指标进行分析。结果 ①共纳入27篇文献,病例数合计为1450例,其中TightRope组665例,锁骨钩钢板组785例。②结果显示TightRope组在术后优良率、术中出血量、住院时间、切口长度、术后末次VAS评分、术后末次Constant-Murley评分、术后并发症、术后CCD方面均优于锁骨钩钢板组;在手术时间、住院费用、术后ACD方面与锁骨钩钢板组无明显差异。结论 与锁骨钩钢板比较,TightRope能起到有效的内固定作用,使大多数患者获得了良好的手术疗效,减少了肩峰下撞击综合征、术后内固定失效、术后慢性疼痛等并发症的发生,可使患者尽早的进行康复训练,术后恢复良好。但在复位过程中,易因牵拉张力过大而致喙突骨折的可能,而袢的长度过长则会使肩锁关节脱位不能完全复位。
Abstract:
Objective To investigate the effect of TightRope and clavicular hook plate in the treatment of acromioclavicular dislocation.Methods The Cochrane library, PubMed, CNKI, VIP and Wanfang databases were searched for all Chinese authors ’ literature on TightRope and clavicular hook plate in the treatment of acromioclavicular joint dislocation. The retrieval time was from the establishment of the database to May 2023. The literature was screened according to the inclusion and exclusion criteria, and the data were extracted. After analysis, the literature that met the requirements was screened out and rigorous quality assessment was performed. All results were analyzed by RevMan 5.4 software.Results ① A total of 27 literatures were included, with a total of 1450 cases, including 665 cases in the TightRope group and 785 cases in the clavicular hook plate group. ②The results showed that the TightRope group was superior to the clavicular hook plate group in terms of postoperative excellent and good rate, intraoperative blood loss, hospitalization time, incision length, postoperative VAS score, postoperative Constant-Murley score, postoperative complications and postoperative CCD, butt here was no significant difference in operation time, hospitalization cost and postoperative ACD between the two groups.Conclusion Compared with clavicular hook plate, TightRope can play an effective role in internal fixation, so that most patients can obtain good surgical results. At the same time, this method can reduce the incidence of complications such as subacromial impingement syndrome, postoperative internal fixation failure, and postoperative chronic pain. It can enable patients to carry out rehabilitation training as soon as possible and recover well after surgery. However, in the process of reduction, it is easy to cause coracoid fracture due to excessive traction tension, and the long length of the loop will make the acromioclavicular joint dislocation unable to be completely reduced.

参考文献/References:

[1]Nolte PC,Lacheta L,Dekker TJ,et al.Optimal Management of Acromioclavicular Dislocation: Current Perspectives[J].Orthop Res Rev,2020,12:27-44.[2]Yancey JR,Szczepanik M.Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions[J].Am Fam Physician,2021,104(1):28-29.[3]Bostr?觟m Windhamre H,von Heideken J,Une-Larsson V,et al.No difference in clinical outcome at 2-year follow-up in patients with typeⅢ andⅤ acromioclavicular joint dislocation treated with hook plate or physiotherapy: a randomized controlled trial[J].J Shoulder Elbow Surg,2022,31(6):1122-1136.[4]Gu F,Tan L,Wang T,et al.Comparison of single versus double TightRope system in the treatment of acute acromioclavicular joint dislocation[J].J Shoulder Elbow Surg,2021,30(8):1915-1923.[5]张斌,郑伟,陈晨,等.关节镜下TightRope系统固定与钩钢板内固定治疗急性肩锁关节脱位对比研究[J].中国现代医药杂志,2023,25(2):57-60.[6]Liu S,Li C,Song Z,et al.Comparison of open reduction and fixation with hook plate and modified closed reduction and fixation with tightrope loop plate for treatment of rockwood type III acromioclavicular joint dislocation[J].BMC Musculoskelet Disord,2022,23(1):301.[7]储淼,周建刚,蒋涛,等.TightRope钢与锁骨钩钢板联合喙肩韧带转位治疗Rockwood Ⅲ型肩锁关节脱位的疗效比较[J].临床与病理杂志,2022,42(9):2213-2220.[8]季斌,冯萍,赵增斌,等.TightRope与钩钢板治疗肩锁关节脱位的比较[J].中国矫形外科杂志,2022,30(10):877-882.[9]陈殿新,吴毅华,陈胜,等.关节镜辅助下Tightrope袢钢板与锁骨钩钢板治疗 RockwoodⅢ型肩锁关节脱位的临床对比研究[J].右江医学,2022,50(9):665-668.[10]胡猛.肩关节镜下不同钢板固定治疗肩锁关节脱位的临床对比[J].哈尔滨医药,2022,42(6):76-78.[11]Shen G,Sun S,Tang C,et al.Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis[J].Sci Rep,2021,11(1):11397.[12]陈兵,吴治森,康立耕.关节镜辅助下Tightrope袢钢板与锁骨钩钢板治疗RockwoodⅢ型肩锁关节脱位的疗效[J].创伤外科杂志,2021,23(3):212-215.[13]张忠良,林俊宏,费霖莉,等.关节镜下双钛板AC TightRope与钩钢板内固定治疗新鲜高分型肩锁关节脱位的疗效比较[J].中国现代医学杂志,2021,31(4):31-36.[14]邓小波,林民贵,胡海波.小切口Tightrope系统在肩锁关节脱位中的疗效及对创伤应激的影响[J].中外医学研究,2021,19(23):14-17.[15]白晓东,安明,宋朝晖,等.3种方式治疗Rockwood Ⅲ型肩锁关节脱位的临床疗效分析[J].中国微创外科杂志,2020,20(12):1093-1099.[16]王天刚,高义斌,魏艳辉,等.TightRope钢板与锁骨钩钢板内固定术治疗RockwoodⅢ型肩锁关节脱位疗效比较[J].新乡医学院学报,2020,37(4):378-381.[17]谷铭勇,郑润泉.TightRope与锁骨钩钢板治疗Rockwood Ⅲ型肩锁关节脱位的对比研究[J].实用医药杂志,2020,37(7):594-598.[18]高飞,江涛.关节镜下带袢双钛板TightRope置入治疗肩锁关节脱位的疗效分析[J].中华骨与关节外科杂志,2020,13(8):658-662.[19]郭培义,谢建鸿,黄安劲,等.Tightrope系统与锁骨钩钢板系统治疗肩锁关节脱位的效果比较[J].广东医学,2019,40(15):2225-2228.[20]欧阳建江,汤志利,陈岗.关节镜下喙锁间弹性固定治疗急性肩锁关节脱位的临床疗效[J].微创医学,2019,14(1):12-14,47.[21]刘弼,陈蓟,黄雪晴,等.急性不稳定肩锁脱位关节镜下TightRope?誖固定与锁骨钩板固定的短期疗效比较[J].海南医学,2019,30(16):2075-2078.[22]王超然,张俊,陈鸿,等.全关节镜下Twin Tail TightRope结合远端关节囊修复技术治疗急性肩锁关节脱位[J].中国修复重建外科杂志,2019,33(8):970-975.[23]陈庚,辛兵,张长虹,等.TightRope系统与锁骨钩钢板内固定治疗肩锁关节脱位的疗效比较[J].中国骨与关节损伤杂志,2018,33(7):753-755.[24]黄超,林木良,李桓毅,等.TightRope与钩钢板治疗急性肩锁关节脱位的对比[J].中国矫形外科杂志,2018,26(24):2230-2234.[25]吴国明,王雨辰,俞伟忠.双尾TightRope系统与锁骨钩钢板内固定治疗Rockwood Ⅳ、Ⅴ型肩锁关节脱位的疗效比较[J].中国骨与关节损伤杂志,2018,33(9):982-984.[26]朱贤平,滕晓,蔡宁宇,等.锁扣带袢钛板联合锚钉治疗Tossy Ⅲ型肩锁关节脱位的疗效分析[J].临床骨科杂志,2018,21(2):225-227.[27]胡炜,雷涛,汤骏,等.小切口tightrope系统与AO锁骨钩钢板治疗Rockwood Ⅲ型肩锁关节脱位的疗效[J].温州医科大学学报,2018,48(8):595-599.[28]李想,张峰,丁真奇,等.TightRope重建喙锁韧带联合锚钉治疗肩锁关节脱位的临床疗效[J].骨科,2017,8(1):25-29.[29]杨凯,潘朝晖,王伟,等.TightRope装置和锁骨钩钢板治疗Rockwood Ⅲ型急性肩锁关节脱位的疗效对比分析[J].中国临床医生杂志,2017,45(6):85-87.[30]林俊宏,张忠良,王群香.全关节镜下锁扣带袢双钛板AC TightRope内固定治疗Rockwood Ⅲ型肩锁关节脱位疗效研究[J].中国全科医学,2017,20(2):58-61.[31]郭子仪,伍峻松,凌志恒,等.AO钢板内固定与Twin Tail TightRope内固定治疗Rockwood Ⅲ型肩锁关节脱位对比观察[J].浙江创伤外科,2015,20(3):417-419.[32]Xu D,Lou W,Li M,et al.The influence of hook tip in different depths on the acromioclavicular joint dislocation treated with clavicular hook plate: A retrospective study[J].Asian J Surg,2021,44(11):1459-1460.[33]Liu G,Hu Y,Ye F,et al.Clavicular hook plate for acute high-grade acromioclavicular dislocation involving Rockwood type V: clinical and radiological outcomes and complications evaluation[J].Int Orthop,2022,46(10):2405-2411.[34]Bin Abd Razak HR,Yeo EN,Yeo W,et al.Short-term outcomes of arthroscopic TightRope? fixation are better than hook plate fixation in acute unstable acromioclavicular joint dislocations[J].Eur J Orthop Surg Traumatol,2018,28(5):869-875.[35]Pan X,Lv RY,Lv MG,et al.TightRope vs Clavicular Hook Plate for RockwoodⅢ-ⅤAcromioclavicular Dislocations: A Meta-Analysis[J].Orthop Surg,2020,12(4):1045-1052.[36]Zhao Y,Tan L,Tang W,et al.A New Coracoclavicular Guider for Minimally Invasive Anatomic Coracoclavicular Reconstruction with Two TightRope Systems in Acute Acromioclavicular Joint Dislocation[J].Sci Rep,2019,9(1):14452.[37]Vetter P,Eckl L,Bellmann F,et al.Minimally Invasive Techniques for the Treatment of Acute and Chronic Acromioclavicular Joint Instabilities[J].Z Orthop Unfall,2023,161(2):219-238.[38]Abdelrahman AA,Ibrahim A,Abdelghaffar K,et al.Open versus modified arthroscopic treatment of acute acromioclavicular dislocation using a single tight rope: randomized comparative study of clinical outcome and cost-effectiveness[J].J Shoulder Elbow Surg,2019,28(11):2090-2097.

更新日期/Last Update: 1900-01-01