锁骨钩钢板系统治疗锁骨远端NeerⅡ型骨折的疗效分析  

CLINICAL EFFECTS OF CLAVICULAR HOOK PLATE FOR NEER TYPE Ⅱ FRACTURE OF DISTAL CLAVICLE

作　　者：薛力[1] 陈勤[1] 周政[1] 邵勇[1] 邱建中[1] 关龙[1] 王洋[1] 

机构地区：[1]成都市第三人民医院骨科,成都610031

出　　处：《中国修复重建外科杂志》2007年第9期979-981,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨应用锁骨钩钢板系统治疗锁骨远端NeerⅡ型骨折的临床效果。方法2004年3月～2006年4月，采用切开复位锁骨钩钢板系统内固定治疗锁骨远端NeerⅡ型骨折患者15例。男12例，女3例；年龄17～69岁，平均39岁。车祸伤8例，跌伤7例，均为急性损伤。术后采用JOA肩部疾患评分标准进行疗效分析。结果术后患者伤121均I期愈合，无术后早期并发症发生。15例患者均获9～34个月随访，平均16．4个月。根据JOA肩部疾患疗效评分标准，JOA总平均分为93．1分，疼痛评分为28．0分，功能评分为18．8分，活动范围评分为26．3分。X线片检查示锁骨骨折于术后3～6个月愈合，平均3．9个月。未发现肩锁关节半脱位及脱位。结论应用锁骨钩钢板系统治疗锁骨远端NeerⅡ型骨折固定可靠，能早期行功能锻炼，术中应保护肩袖和肩锁关节周围组织减少损伤，骨折愈合后内固定需尽早取出。Objective To analyze the clinical effect of clavicular hook plate in treating Neer type Ⅱ fracture of distal clavicle. Methods From March 2004 to April 2006, 15 patients suffering from Neer type Ⅱ fracture of distal clavicle were treated with clavicular hook plate, including 12 males and 3 females with an average age of 39 years （range, 17-69 years）. All patients had acute injury, including accident injury （8 cases） and falling injury （7 cases）. The results were assessed by the JOA method. Results The wounds healed by first intention. No early complications were found. All patients were followed up for an average of 16.4 months（range,9-34 months） . The mean JOA score was 93.1. The mean pain parameter was 28.0, the fuction was 18. 8 and the range of motion was 26.3. The X-ray films showed that bony union was obtained in all patients after 3-6 months, and the mean healing period was 3. 9 months. No acromioclavicular subluxation and dislocation occurred. Conclusion The principal advantages of this method are reliable fixation and early rehabilitation. It is necessary to protect rotator cuff and tissues behind acromioclavicular joint and remove the plate as soon as possible after bony union.

关 键 词：锁骨钩钢板 NeerⅡ型 锁骨远端骨折 

分 类 号：R687.3[医药卫生—骨科学]