摘要
目的探讨应用锁骨钩钢板治疗肩锁关节脱位和NeerⅡ型锁骨远端骨折的临床疗效。方法对2002年11月至2009年9月53例Rockwood分级Ⅲ度～Ⅴ度肩锁关节脱位和1 8例NeerⅡ型锁骨远端骨折患者均给予AO或理贝尔锁骨钩钢板内固定。结果 53例患者随访8-42个月,平均21个月。患者均获得良好复位和固定,X线片未见肩锁关节半脱位,无内固定松动或断裂,肩关节功能恢复良好。其中1例脱钩。手术后疗效按Karlsson疗效评价标准评定,优81%,良17%,差2%,优良率98%。结论锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折,具有手术操作简便、内固定牢固、可早期活动等优点,是较为理想的内固定方法。
Objective To investigate the clinical efficacy of clavicular hook plate in the treatment of acromioclavicular joint dislocation and distal clavicular fracture （Neer II）. Methods From Novemeber 2002 to September 2009, 53 patients with dislocation of acromioclavicular joint （Degree III to IV） and 18 patients with distal clavicular fracture （Neer II） were treated with AO or internal fixation with Libeier clavicular hook plate. Results All 53 patients were followed up from 8 to 42 months （average, 21 months）. All patients obtained good reduction and fixation. X-ray examinations showed no acromioclavicular joint subluxation, loosening and no breakage or of the clavicular hook plate occurred. The function of acromioclavicular joint recovered well. unhooking oaurred in one patient. Postoperativly, 81% of all patients performed excellently, 17% performed well and 2% performed poorly according to karlsson criteria. The excellent and good rate was 98%. Conclusions Clavicular hook plate has advantages of simple operations, stable internal fixation, and early activity in the treatment of acromioclavicular joint dislocation and distal clavicular fracture. It is a good choice for acromioclavicular joint dislocation and distal clavicular fracture.
出处
《中国骨肿瘤骨病》
2011年第2期153-154,187,共3页
Chinse Journal Of Bone Tumor And Bone Disease
关键词
肩锁关节
骨折
脱位
锁骨钩钢板
骨折固定术
Acromioclavicularjoint
Fracture
Dislocation
Clavicular hook plate
Fracture fixation
