肩锁钩钢板治疗肩锁关节脱位和锁骨骨折

目的探讨治疗肩锁关节脱位和锁骨骨折的新方法.方法采用肩锁钩钢板治疗Ⅲ度肩锁关节脱位11例,锁骨外端骨折7例,锁骨中段骨折4例,20例获得随访,随访时间4～18个月,平均10.2个月.结果按照Lazzcano标准,疗效优14例,良6例,无其他并发症,骨折全部愈合,肩锁关节无再脱位.结论肩锁钩钢板治疗肩关节脱位和锁骨骨折具有固定确实,不损伤关节面,可以早期功能锻炼等优点,值得推广.术中仍需注意修复喙锁韧带.

A Hook Plate for Treatment of acromioclavicular Dislocation and Clavicular Fracture

Objective:To probe into the treatment of acromio clavicular dislocation and clavicular fracture.Methods:Eleven cases of acromiocl avicular dislocation,7 cases of distal clavicular fracture and 4 cases of middle clavicular fracture were treated with hook plates in recent 2 years.Twenty case s were followed-up.The follow-up periods lasted from 4 to 18 months with an average of 10.2 months.Results:Of the 20 follow-up cases,14 were excellent and 6 satisfactory according to the Lazzcano standard There were no other complica tions.All the fractures were healed and no redislocation was observed.Conclusion :Hook plates show the advantage of rigid fixation,no invasion into article surfa ce,and capable of early exercises in the treatment of acromioclavicular dislocat ion and clavicular fracture.