锁骨钩钢板治疗锁骨远端骨折及肩锁关节脱位临床观察

目的：探讨锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位的临床疗效。方法：86例锁骨远端骨折和肩锁关节脱位患者,56例行锁骨钩钢板内固定术,30例行交叉克氏针固定术。结果：所有病例术后随访1-2年。锁骨钩钢板组56例患者无钢板断裂、螺钉松动及再脱位,无骨折不愈合病例,肩关节功能均恢复良好;肩关节功能评定优良率为100%,其中优占91.07%。交叉克氏针组30例患者钢针脱出7例,折断1例,肩锁关节脱位复发3例;优良率为76.67%,其中优占43.33%。两组均未发现感染。结论：锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位操作简单、损伤小、疗效确切,可使骨折愈合与功能恢复同步进行,值得临床应用推广。

CLINICAL OBSERVATION OF TREATING DISTAL CLAVICLE FRACTURE AND ACROMIOCLAVICULAR DISLOCATION BY CLAVICLE HOOK PLATE

Objective:To evaluate the clinical effects of treating distal clavicle fracture and acromioclavicular dislocation by clavicle hook plate. Methods:86 distal clavicle fracture and acromioclavicular dislocation patients were chosen in this study. Among them 56 cases were treated with clavicle hook plate,the other 30 cases with cross K-wires.Results:All cases were followed up for 1-2 year after operation. Clavicle hook plate group:no plate fracture,screw loose and redislocation occurred;the function of shoulder joint recoved good was 100%,and 91.07% was well. Cross K-wires group:cross K-wires prolapsed 7 cases,fracture 1 case,redislocation 3 cases;the function of shoulder joint recoved good was 76.67%,and 43.33% was well. No infection was observed in these 2 goups.Conclusions:The operation that treats distal clavicle fracture and acromioclavicular dislocation by clavicle hook plate is easy to operate,and can get exact curative effects,so it is worth of spreading in clinic.