插入式锁骨钩钢板的临床应用  

The Clinical Application of Clavicular Hook Plate

作　　者：刘小敏[1] 肖伟平 汤敏予 彭太平[1] 吕劲[1] 

机构地区：[1]江西中医学院附属医院骨科,南昌330006

出　　处：《江西医学院学报》2007年第2期52-53,56,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的探讨插入式锁骨钩钢板在锁骨肩峰端骨折（NeerⅡ）和肩锁关节脱位（TossyⅢ）的临床应用效果。方法对28例锁骨肩峰端骨折（NeerⅡ）和肩锁关节脱位（TossyⅢ）患者行切开复位,插入式锁骨钩钢板内固定,观察其治疗效果。结果随访6-19个月,平均12个月。所有患者均获得良好复位固定,术后未发生脱钩现象,内固定物取出后无再脱位,肩关节功能恢复良好。4例出现轻度锁骨钩钢板肩峰下撞击征,内固定取出后症状消失。结论插入式锁骨钩钢板是治疗锁骨肩峰端骨折（NeerⅡ）和肩锁关节脱位（TossyⅢ）的理想内固定物。Objective To investigate the clinical application of clavicular Hook Plate in lateral clavicular fracture （Neer Ⅱ ） and acromioclavicular joint dislocation（TossyⅢ）. Methods Twenty- eight cases were treated with clavicular hook plate. The outcomes and complications were observed. Results All the cases were followed up for 6- 19 months, and got good reduction and fixation without losing hook-up. They achieved good recovery of function of should joint and won satisfactory reduction without any redislocation after the implants being taken out. Four patients suffered from impingement of shoulder joint, hut the syndrome disappeared after the implants taken out. Conclusion Clavicular Hook Plate is the ideal implant for lateral clavicular fracture （Neer Ⅱ ） and acromioclavicular joint dislocation（Tossy Ⅲ ）.

关 键 词：内固定器 锁骨骨折 肩锁关节脱位 

分 类 号：R683.41[医药卫生—骨科学]