锁骨钩钢板与克氏针张力带治疗肩锁关节脱位的疗效评价

目的评价锁骨钩钢板与克氏针张力带治疗TossyⅢ型肩锁关节脱位的疗效。方法自2002年1月至2010年12月间,我院收治64例TossyⅢ型肩锁关节脱位患者,其中41例采用锁骨钩钢板固定,23例采用克氏针张力带固定,术后均随访。结果按Karlsson标准行肩关节功能评定,锁骨钩钢板组优良率为97.6%,克氏针张力带组优良率为73.9%,锁钩钢板组明显优于克氏针张力带组。结论采用锁骨钩钢板固定是治疗TossyⅢ型肩锁关节脱位较为理想的手术方法。

Clavicular hook plate and tension band treatment acromioclavicular joint dislocation

Objective Evaluation the outcome of the clavicular hook plate and tension band for Tossy III type acromioclavicular joint dislocation. Methods From January 2002 to December 2010, we treated 64 patients with Tossy III type acromioclavicular joint dislocation ,41 patients with Tossy III type acromioclavicular joint dislocation were treatment by clavicular hook plate, 23 patients were treatment by tension band, follow-up after surgery. Results Assessment of shoulder function according to Karlsson standard, excellent were 97.6% in acromioelavicular hook plate group, while 73.9% in tension band group. Clavicular hook plate group were better than the tension band group. Conclusion Clavicular hook plate is the best method to treat acromioelavicular joint dislocation.