锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位的并发症分析

【摘要】 目的 分析锁骨钩钢板内固定治疗锁骨远端骨折及肩锁关节脱位并发症的原因及其防治措施。方法 我科自2009年10月至2012年11月,对应用锁骨钩钢板内固定治疗锁骨远端骨折及肩锁关节脱位126例病人资料进行回顾性分析,其中男性81例,女性45例;年龄16~79岁,平均37.6岁。结果 全部病例获得随访,随访时间3个月~2年,平均时间11月,其中39例患者出现钩钢板直接相关的并发症有肩痛、应力性骨折、脱钩等。疗效评价采用肩关节Constant评分评定疗效,获优32例,良68例,可16例,优良率79.4%。结论 大多数并发症可以预防,正确手术和内固定置入及术后合理功能锻炼是预防并发症的关键。

Complications and corresponding managements of clavicular hook plate fixation for distal clavicle fracture and acromioclavicular joint dislocation

Objective To analyze the reasons of complications caused by the clavicular hook plate fixation for distal clavicle fracture and acromioclavicular joint dislocation,.and to investigate the protective step.Methods From Oct 2009 to Nov 2012,126 patients with distal clavicle fracture and acromioclavicular joint dislocation underwent clavicular hook plate fixation and the clinical data was retrospectively analyzed.Of 126 cases,.81 were males and 45 were females,.the average age was 37.6 years.（range 16-79 years）..Results All the patients were followed up from 3 months to 2 years（average 11 months）..Complications occurred in 39 patients,.presenting as shoulder pain,.stress fracture,decoupling.The function of the shoulder（according to Constant Scores） existed excellent in 32 cases,good in 68,and fair in 16,and the good-excellent rate was 79.4%.Conclusion For the treatment of distal clavicle fracture and acromioclavicular joint dislocation with clavicular hook plate fixation approach,.most of the complications can be prevented,.and correct placement,.fixation surgery and functional exercise are critical to prevent the complications.