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机构地区:[1]武汉市第一医院骨脊柱创伤外科,武汉430022
出 处:《中国中医骨伤科杂志》2010年第2期42-43,共2页Chinese Journal of Traditional Medical Traumatology & Orthopedics
摘 要:目的:分析使用AO锁骨钩钢板对锁骨远端骨折及肩锁关节脱位的临床效果。方法:使用AO锁骨钩钢板螺丝钉内固定治疗56例NeerⅡ型锁骨远端骨折以及TossyⅢ型肩锁关节脱位,并进行随访。结果:56例患者均获得12-24个月随访,平均16个月。术后12个月均获痊愈,完全恢复日常生活和工作能力。按Karlsson肩关节术后功能恢复标准,优51例,良5例,优良率达100%。结论:AO锁骨钩钢板治疗NeerⅡ型锁骨远端骨折和TossyⅢ型肩锁关节脱位是一种简单而有效的手术方法,具有固定牢靠,不损伤关节面,关节功能恢复快等优点。Objective:To evaluate the clinical effects of AO clavicular hook plates in the treatment of distal clavicle fracture and acromioclavicular dislocation,and to analyze the stress fracture.Methods:Fifty-six patients with distal clavicle fracture(Neer Ⅱ) and acromioclavicular dislocation(Tossy Ⅲ) were treated with AO clavicular hook and were followed up.Results:All patients were followed up for 12 to 24 months after operations(averagely 16 months).They were all cured after a year.According to Karlsson result evaluation,there were excellent results in 51 cases and good in 5 cases,with an effective rate 100%.Conclusion:AO clavicular hook plate has the advantages of solid fixation,non-articular surface damage and quick recovery of joint function,thus is a simple and effective surgical method for distal clavicle fractures(Neer Ⅱ) and acromioclavicular dislocation(Tossy Ⅲ).
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