锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位31例

目的探讨锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折的方法和治疗效果。方法回顾性分析2005年3月至2008年6月用锁骨钩钢板治疗TossyⅢ型肩锁关节脱位和NeerⅡ型锁骨远端骨折31例的临床资料。结果31例均痊愈，术后2周肩关节功能基本正常，X线显示肩锁关节间隙正常，未见明显并发症，随访3个月～2年。Lazzcano标准评定优23例，良8例。结论锁骨钩钢板治疗肩锁关节脱位和锁骨外侧端骨折符合生物力学要求，手术操作简便，内固定牢固，可早期活动肩关节，并发症少，疗效满意。

Treatment of 31 cases of distal clavicle fracture and acromioclavicular joint dislocation with Clavicular hook plate

Objective To evaluate the curative effects of clavicular hook plate in the treatment of dislocation of acromioelavieular joint and fracture of distal clavicle. Methods Clinical data of 31 patients with TossyⅢ aeromioclavicular joint dislocation or Neer Ⅱ distal clavicle fractures treated with clavicular hook plate from March 2005 to June 2008 were retrospectively analyzed. Results All the 31 patients were cured. The function of the acromioclavicular joint recovered after two weeks. The X - ray films showed that the acromioelavicular joint space recovered quickly. All the patients were followed up for 3 months to 2 years and no obviously complication was observed. Twenty - three cases were good and 8 cases were fine by the evaluated by Lazzeano standard. Conclusions Clavicular hook plate is a good choice for the treatment of acromioelavicular joint dislocation and distal clavicular fracture with the principal advantages of being in line with the request of vitodynamies, reliable fixation, early rehabilitation and less complication.