锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折

目的　探讨治疗肩锁关节脱位和锁骨远端骨折的新方法。　方法　分析自 2 0 0 0年7月至 2 0 0 1年 5月用锁骨钩钢板治疗TossyⅢ型肩锁关节脱位和锁骨外侧端骨折共 12例的疗效。结果　所有患者均获得良好复位和固定 ,患者的肩关节在术后 2周平均屈曲 90° ,外展 90°。有 1例因钢板预弯不佳发生肩关节撞击 ,但在内固定取出后关节功能未受影响。术后X线评估复位率达10 0 %。内固定取出后 ,无再脱位的病例 ,关节功能恢复良好率 10 0 %。　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可靠的方法。

Clavicular hook plate for acromioclavicular joint dislocation and distal clavicle fractures

Objective To analyze the effect of clavicular hook plate (CHP) in treating dislocation of the acromioclavicular joint and fractures of the distal clavicle. Methods From July 2000 to May 2001, 12 cases with acromioclavicular joint dislocation or distal clavicle fractures were treated using CHP and its effect evaluated. Results All patients got good reduction and fixation and 2 weeks after operation they obtained satisfactory motion with average 90 degrees of flexion and 90 degrees of abduction. One patient suffered from impingement of the shoulder joint because of unsatisfactory preliminary flexion but the joint function was not affected posterior to extraction of inernal fixation. The X-ray showed good reduction in all patients. No re-fracture or subluxation occurred after removal of implants with 100% of joint function recovery. Conclusions CHP is a reliable way for acromioclavicular joint dislocation and distal clavicle fractures.