肩关节镜辅助下TightRope钢板固定治疗肩锁关节脱位疗效及对患者术后免疫应激反应的影响

doi:10.3969/j.issn.1006-6233.2023.11.029

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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.

Key words： Arthroscopy Tightrope plate Acromioclavicular Joint Dislocation Immune response Stress response

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.11.029 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I11/1905

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