锁骨钩钢板与克氏针张力带固定治疗肩锁关节脱位的疗效分析  

Treatment of acromioclavicular joint dislocation with hook-plate and k-wire tension band

作　　者：胡建华[1] 李帮春[1] 

机构地区：[1]重庆市急救医疗中心骨科,400014

出　　处：《重庆医学》2008年第10期1037-1038,共2页Chongqing medicine

摘　　要：目的比较锁骨钩钢板与克氏针张力带固定治疗肩锁关节脱位的临床疗效。方法24例肩锁关节完全脱位，采用锁骨钩钢板治疗，未修复喙锁韧带15例；采用克氏针结合钢丝张力带固定，并修复喙锁韧带9例。其中男16例，女8例，均为新鲜脱位，脱位距就诊时间为0～6d，平均1～2d。随访时间4～24个月，平均17个月。结果根据术后X线片和关节功能恢复情况评定疗效，局部功能评定参照Lazcano标准进行评价。锁骨钩组优13例，良2例，克氏针张力带组优8例，良1例，患者无感染，无金属内固定物折断及松动，肩锁关节未见脱位或半脱位。两种治疗方法临床效果差异无统计学意义（P〉0、05）。结论应用锁骨钩钢板与克氏针张力带一样是治疗肩锁关节脱位较理想的方法之一，固定可靠，可以早期功能锻练，疗效满意。Objective To compare the therapy of using hook-plate and k-wire tension band fixation to treat acromioclavicular joint dislocation. Methods 24 cases with acromioclavicular joint dislocation, 15 cases of them were treated with hook-plate combing with didn＇t using reconstruction coracoacromial ligament,other 9 cases were treatad with k- wire tension band combing with using reconstruction coracoacromial ligament. There were 16 males and 8 females. All cases were fresh dislocation. All cases were fol- lowed up from 4 to 24 months,the average of 17 months. Results According to X-ray postoperative recovery of joint function and local function were used Lazcano grading system. 13 cases were excellent, 2 cases were good in hook-plate group. 8 cases were ex cellent,1 case was good in k-wire tension band group. There were no such complaints as infection,breakage or loosening of the hook- pate and k-wire. The statistics analysis showed that there had no difference between hook-plate group and k-wire tension band group （P〉0.05）. Conclusion Using hook-plate and k-wire tension band to treat acromioclavicular dislocation can provide reliable fixation and allow early functional exceises so that the effects are satisfactory.

关 键 词：锁骨钩钢板 克氏针张力带 肩锁关节 脱位 

分 类 号：R687.3[医药卫生—骨科学]