肩锁钩钢板临床运用的常见失误分析  

Analysis of problems in the use of clavicle hook plate for acromioclavicular joint dislocation and distal clavicle fracture

作　　者：陈一心[1] 杨伟民[1] 熊进[1] 

机构地区：[1]南京大学医学院附属鼓楼医院骨科,210008

出　　处：《中国矫形外科杂志》2004年第23期1825-1828,共4页Orthopedic Journal of China

摘　　要：目的通过分析肩锁钩钢板临床运用的常见失误,总结经验教训,提高临床疗效。方法分析2000年1月～2003年10月,用肩锁钩钢板治疗的28例TossyⅢ型肩锁关节脱位和NeerⅡ型锁骨远端骨折的疗效和失误。结果83%的患者术后效果非常满意,出现5例肩锁钩钢板临床运用不当。结论肩锁关节的解剖复位,肩峰钻孔点精确定位,肩锁钩钢板的准确塑形,肩周软组织的修补和早期功能锻炼能确保肩锁钩钢板疗效。Objective:Some commonly found problems in the clinical application of clavicle hook plate were analyzed,with the aim of making clinical improvements.Method:Twenty-eight cases of Tossy Ⅲ acromioclavicular joint dislocation and Neer Ⅱ distal clavicle fracture treated with clavicle hook plate were analyzed for efficacy achieved and problems.Result :Satisfactory results were achieved in 83% of the patients after receiving clavicle hook plate operation;problems were found in 5 cases.Conclusion:The efficacy of the clinical use of clavicle hook plate can be strengthened by the anatomic reduction of acromioclavicular joint dislocation,accurate placing drill hole on acromion,accurate shaping of the clavicle hook plate,and the repairing of the shoulder soft tissue,as well as early functional exercise after the operation.

关 键 词：脱位 骨折 肩锁关节 

分 类 号：R687[医药卫生—骨科学]