Clinical Efficacy of Shoulder Arthroscopy-Assisted TightRope Plate Fixation in the Treatment of Acromioclavicular Joint Dislocation and Its Impact on Postoperative Immune Stress Response in Patients
Abstract：Objective: To investigate the clinical efficacy of shoulder arthroscopy-assisted TightRope plate fixation in the treatment of acromioclavicular joint dislocation and its effect on postoperative immune stress. Methods: A total of 100 patients with acromioclavicular joint dislocation who were admitted to our hospital from February 2021 to February 2022 were selected and divided into group A (n=52) and group B (n=48) according to the surgical plan.Group A was given shoulder arthroscopy The patients were treated with TightRope plate fixation assisted,and group B was treated with shoulder arthroscopy-assisted clavicle hook plate internal fixation.The clinical efficacy,shoulder joint function [European Shoulder Association scoring system Constant shoulder joint score],immune response (CD3+,CD4+,CD8+,CD4+/CD8+ ratio),stress response [cortisol (Cor),adrenocorticotropic cortex hormone (ACTH)] and postoperative complications] were compared between the two groups. Results: Compared with group B,the excellent and good rate of group A was significantly higher (P<0.05),6 months after treatment,the scores of each dimension of Constant shoulder joint were significantly higher (P<0.05),and the decreasing range of CD3+,CD4+,CD8+,CD4+/CD8+ ratio at 1 day after treatment was significantly lower (P<0.05).The increase rates of serum Cor and ACTH were significantly lower (P<0.05),and the total incidence of postoperative complications was significantly lower (P<0.05). Conclusion: For patients with acromioclavicular joint dislocation,shoulder arthroscopy-assisted TightRope plate fixation can improve the clinical excellent and good rate,promote the recovery of shoulder joint function,reduce the immune stress response,and reduce postoperative complications.
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2023, Vol. 29 
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