摘要
目的探讨AO锁骨钩钢板(CHP)治疗TossyⅢ型肩锁关节脱位和NeerⅡ型锁骨远端骨折的疗效。方法1999～2002年运用锁骨钩钢板治疗TossyⅢ型肩锁关节脱位和NeerⅡ型锁骨远端骨折22例,所有病例均直接修复断裂的肩锁韧带。结果22例患者均获随访,随访6～24个月,平均12个月。术后2周肩关节活动基本恢复正常,平均屈曲90°,外展90°,取出CHP时间为6～12个月,平均8个月,按Karlsson疗效评定标准,肩关节功能优良率100%。结论锁骨钩钢板是治疗TossyⅢ型肩锁关节脱位和NeerⅡ型锁骨远端骨折的一种良好的方法。
Objective To study the curative effects of clavicular hook plate (CHP) in treatment of the fractures of distal clavicle and dislocation of acromioclavicular joint. Methods From April 1999 to April 2002, 22 cases with distal clavicle fractures or acromioclavicular joint dislocation were treated with CHP. The broken acromioclavicular ligament was repaired directly in all the cases. The outcomes were evaluated. Results All the cases were followed up for 6 to 24 months (averaging 12 moths). All the dislocated acromioclavicular joints returned to normal 2 weeks after operation, and obtained satisfactory motion with 90 degrees of flexion and 90 degrees of abduction on average. CHP was taken away 6 to 12months (averaging 8 months) postoperatively. Excellent plus good rate of shoulder function was 100%according to Karlsson evaluation. Conclusion When degree Ⅲdislocated acromioclavicular joint is treated with CHP, the acromioclavicular joint can exercise earlier and recover quickly. The curative effect of CHP has proved to be satisfactory.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第8期864-866,共3页
Chinese Journal of Orthopaedic Trauma
关键词
锁骨钩钢板
治疗
锁骨远端骨折
肩锁关节脱位
Acromioclavicular joint
Clavicle
Dislocations
Fractures
Clavicular hook-plate
