摘要
[目的]比较研究锁骨钩钢板与克氏针张力带治疗肩锁关节脱位和锁骨远端骨折的疗效。[方法]52例肩锁关节脱位或锁骨远端骨折患者,34例采用锁骨钩钢板、18例采用克氏针张力带内固定。回顾性分析比较其手术难易程度、治疗效果及并发症。[结果]术中两组手术难易程度无明显差异,P>0.05;术后平均随访15个月,锁骨钩钢板组手术并发症发生率为0.0%,肩关节功能评定优良率为97.1%,优于克氏针张力带组的38.9%、72.2%,P<0.05。[结论]锁骨钩钢板是一种在治疗肩锁关节脱位和锁骨远端骨折上优于克氏针张力带的新方法,值得推广。
[ Objective] To comparatively analyze the effect of clavicular hook plate（CHP） and Kirschner wire（K-wire） fixation for the acromioclavicular joint dislocation and the distal clavicle fracture. [ Method] Totally 52 cases of the acromioclavicular joint dislocation and the distai clavicle fracture underwent surgical treatment of different fixation including CHP in 34 cases and K-wire in 18 cases. The operation difficulty, outcomes and complications were analyzed and compared retrospectively. [ Result ] Two groups had no significant difference in operation difficulty（ P 〉 0.05 ） ;According to average 15 months follow- up, the complication rate was 0 and the excellent rate of shoulder fuction was 97.1% in the cases fixed with CHP, both were better than those of the cases fixed with K-wire of 38.9% and 72.2% respectively（ P 〈 0.05 ）. [ Conclusion ] Since CHP is better than K-wire in treating the acromioclavicular joint didocation and the distal clavicle fracture, It is worthy of recommending.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2006年第24期1855-1857,I0002,共4页
Orthopedic Journal of China
关键词
锁骨钩钢板
克氏针张力带
锁骨
肩锁关节
骨折
脱位
clavicular hook plate（CHP）
kirschner wire（K-wire）
clavicle
acromioclavicular joint
fracture
dislocation
