微创喙锁钩板技术治疗肩锁关节脱位疗效分析  

Minimal Invasive Technique with Coracoclavicular Hook Plate in Treatment of Acromioclavicular Dislocation

作　　者：王存平[1] 朱喆[1] 陈印明[1] 姜建军[1] 赵海[1] 

机构地区：[1]山东省枣庄市立医院骨科,山东枣庄277102

出　　处：《中外医疗》2010年第11期1-2,4,共3页China & Foreign Medical Treatment

摘　　要：目的微创喙锁钩板技术治疗肩锁关节脱位,进行疗效分析。方法设计了专用的喙锁钩板及手术器械,采用微创经皮喙锁钩板固定技术,治疗急性肩锁关节脱位,依Rockwood分级,Ⅲ度和Ⅳ度患者36例。经随访,分析治疗效果。结果36例全部随访,效果满意。根究Karlsson标准评定,A级25例,B级11例,C级0例。结论微创经皮喙锁钩板技术,适应于治疗Rockwood分级Ⅲ度和Ⅳ度急性肩锁关节脱位。其方法简便,创伤小,效果满意,易于推广。Objective To improve the treatment effects of acromioclavicular dislocation,to simplify operation and to reduce trauma.Methods Designed a special coracoclavicular-hook-plate.36 patients with acute acromioclavicular dislocation of Rockwood grade Ⅲ and Ⅳ were operated with this plate by minimal invasive percutaneous technique.Results The X-Ray outcomes were satisfactory.According to Karlsson standard,there were 25 patients in grade A,11 patients in grade B,none in grade C.The operation time averaged 37 minits,blood loss averaged 15mL.The incision length averaged 2.5cm.Conclusion The minimal invasive percutaneous coracoclavicular-hook-plate technique is an appropriate treatment on acute acromioclavicular dislocation of Rockwood grade Ⅲ and Ⅳ.This method is simple,convenient,less invasive and easy to promote.

关 键 词：喙锁钩板 肩锁关节脱位 疗效分析 

分 类 号：R684.7[医药卫生—骨科学]