锁骨钩钢板治疗急重性肩锁关节脱位和锁骨远端骨折

目的观察锁骨钩钢板治疗急性重度肩锁关节脱位和锁骨远端骨折的临床疗效。方法从2002年5月—2005年12月采用锁骨钩钢板及韧带修复治疗Post 3~6型肩锁关节脱位和Neer 2型锁骨远端骨折共5例。结果术后所有患者X线片评估复位率达100%,所有患者均获得随访,随访时间6~36个月,平均15.3个月;术后无一例发生伤口感染、内固定松动或断裂,内固定取出后无一例发生脱位和骨折,按ChenW J疗效评价标准,肩关节功能恢复优良率97.14%。结论锁骨钩钢板是近年来治疗急性重度肩锁关节脱位和锁骨远端骨折的一种较好的手术方法。

Treatment of Severe Acomioclavicular Joint Dislocation and Distal Clavicular Fracture Using Clavicular Hook Plate

Objective To observe the clinical therapeutic effects of clavicular hook plate on acute severe acromioclavicular joint dislocation and distal clavicular fracture.Methods From March 2002 to December 2005,five cases with acute severe acromioclavicular joint dislocation(Post 3-6) and distal clavicular fracture(Neer 2) were treated with clavicular hook plate internal fixation and ligament repairing.Results The reposition rate reached 100% under X-ray after operation.And all the cases were followed up for 15.3(6-36) months.No complications,such as wound infection,loosening of the internal fixation,breakage of the plate and redislocation or refracture after the removal of the plate,were observed.The shoulder joint function recovery was up to 97.14% according to Chen's evaluation.Conclusion Clavicular hook plate is a better surgical tool in the treatment of severe acromioclavicular joint dislocation(Post 3-6) and distal clavicular fracture(Neer 2) in recent years.