锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折  

Curative effect of acromioclavicular joint dislocation and fracture of distal clavicle treated by clavicular hook plate

作　　者：谢志坚[1] 杨星华[1] 官正华[1] 

机构地区：[1]解放军第三二四医院创伤显微外科,重庆400020

出　　处：《重庆医学》2010年第17期2262-2263,共2页Chongqing medicine

摘　　要：目的探讨锁骨钩钢板对肩锁关节脱位和锁骨远端骨折的治疗效果。方法回顾性分析63例锁骨钩钢板治疗肩锁关节全脱位和NeerⅡ型锁骨远端骨折,其中肩锁关节全脱位41例(锁骨远端骨折合并肩关节脱位7例),锁骨远端骨折22例。结果所有患者获得良好复位和固定,X线片未见肩锁关节半脱位或钢板断裂和松动,肩关节功能恢复良好,内固定取出后无再脱位及再骨折现象。结论锁骨钩钢板是治疗肩锁关节脱位和锁骨远端骨折的一种有效方法。Objective To evaluate the effect of clavicular hook plate in the treatment of dislocation of acromioclavicular joint and fracture of distal clavicle.Methods The clinical data of 63 patients with acromioclavicular joint dislocation or distal clavicle fractures treated with clavicalar hook plate were analyzed retrospectively： 41 suffered from dislocation of acromioclaviculr joint,22 suffered from distal collarbone fractures,and 7 patients had both symptoms.Results All patients got good reduction and fixation.The acromioclavicular joint subluxation,breakage,and loosening of the clavicular hook plate were not observed.The acromioclavicular joint recovered quickly.Redislocation and refracture were not developed when the internal fixation was removed.Conclusion Clavicular hook plate is a good choice for acromioclavicular joint dislocation and distal clavicalar fracture.

关 键 词：肩锁关节脱位 锁骨远端骨折 钩钢板 

分 类 号：R687.3[医药卫生—骨科学]