锁骨与喙突间钢丝固定和锁骨钩状钢板固定治疗肩锁关节Ⅲ度脱位  

Treatment of acromioclavicular dislocation with steel wire or clavicular hook plate

作　　者：管廷进 

机构地区：[1]淄博市第一医院骨科,山东淄博255200

出　　处：《中国骨伤》2009年第8期605-607,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨锁骨与喙突间钢丝固定和锁骨钩状钢板固定治疗肩锁关节Ⅲ度脱位的手术方法、并发症和疗效。方法:回顾分析67例新鲜肩锁关节Ⅲ度脱位患者,A组34例,男24例,女10例;年龄18～52岁,平均(31.20±6.87)岁;采用锁骨与喙突间钢丝固定治疗。B组33例,男19例,女14例;年龄19～50岁,平均(30.90±7.36)岁;采用锁骨钩状钢板固定治疗。两组分别从手术时间长短、出血多少、术后并发症等方面进行分析比较。结果:手术时间:A组(48.90±36.56)min,B组(79.50±29.34)min,A组明显比B组短(P<0.05)。术中出血量:A组(49.70±52.36)ml,B组(121.10±49.08)ml,A组明显少于B组(P<0.01)。除A组1例发生内固定失效外,其余均无伤口感染、肩锁关节再脱位等并发症发生。结论:采用锁骨与喙突间钢丝固定治疗肩锁关节Ⅲ度脱位是一种操作简单、创伤小、疗效确切的有效方法。Objective ： To investigate the operative method and effect of the treatment of acromioclavicular dislocation with steel wire or clavicular hook plate. Methods：Sixty-seven patients were reviewed in the study. In group A 34 patients were treated with steel wire internal fixation including 24 males and 10 females with an average age of 31.2 yeas ranging from 18 to 52. In group B 33 patients were treated with clavicular hook plate internal fixation including 19 males and 14 females with an average age of 30.9 years ranging from 19 to 50. Compared the time of operation and bleeding and postoperative complications between two groups. Results：The time of operation was （48.90±36.56） rain in groups A and （79.50±29.34） rain in group B, the time of group A was shorter than that of group. The bleeding during operation was （49.70±52.36） ml in group A and （121.10± 49.08 ） ml in group B, the bleeding of group A was less than that of group B. Only 1 case in group A occurenced fixation failing. Conclusion： Treatment of acromioelavieular dislocation with steel wire is a simple and small wounds and effective way.

关 键 词：肩锁关节 脱位 锁骨钩钢板 内固定器 

分 类 号：R684.7[医药卫生—骨科学] R683.1[医药卫生—外科学]