锁骨远端骨折合并肩锁关节脱位2种治疗方法的疗效比较  

Comparison of Two Treatment Methods for Distal Clavicle Fracture with Acromioclavicular Joint Dislocation

作　　者：廖卫华[1] 刘亚云[1] 唐国英[1] 

机构地区：[1]江西省人民医院骨科,南昌330006

出　　处：《实用临床医学（江西）》2015年第11期31-32,共2页Practical Clinical Medicine

摘　　要：目的比较锁骨钩钢板及克氏针固定治疗锁骨远端骨折合并肩锁关节脱位的临床效果。方法将92例NeerⅡ型锁骨远端骨折合并肩锁关节脱位患者按手术方法的不同分为2组,观察组(49例)采用锁骨钩钢板固定;对照组(43例)采用克氏针固定,参照Lazzcano疗效标准对2组患者疗效进行比较。结果观察组优良率为93.88%,对照组优良率为76.74%,2组比较差异有统计学意义(P<0.05)。结论锁骨钩钢板固定治疗锁骨远端骨折合并肩锁关节脱位较克氏针固定治疗的效果更好。Objective To compare the clinical wire fixation in the treatment of distal clavicle efficacies of clavicular hook plate and Kirschner fracture with acromioclavicular joint dislocation. Methods Ninety-two patients with Neer II distal clavicle fracture and acromioclavicular joint dis- location were randomly assigned to receive either clavicular hook plate fixation （observation group,n=49） or Kirschner wire fixation（ cording to the Lazzcano standard. Results control group,n=43）. The The excellent and good rate efficacy was assessed ac- in observation group was significantly higher than that in control group（93.88% vs 76.74%,P〈0.05）. Conclusion Cla vicular hook plate fixation is superior to Kirschner wire fixation for treating distal ciavicle frac ture with acromioclavicular joint dislocation.

关 键 词：肩锁关节脱位 锁骨远端骨折 锁骨钩钢板 克氏针 

分 类 号：R683.41[医药卫生—骨科学]