肩锁关节脱位及锁骨外端骨折66例治疗体会

Analysis on 66 cases of treatment of acromioclavicular joint dislocation and/or distal clavicular fracture

关键词:  肩锁关节脱位  锁骨外端骨折  锁骨钩钢板

Key words:  acromioclavicular dislocation  clavicular hook plate  distal clavicle fractures.

摘要:

［目的］探讨锁骨钩钢板在骨科创伤中应用的方法及治疗体会。 ［方法］应用锁骨钩钢板急诊或择期治疗肩锁关节脱位及锁骨外端骨折66例。［结果］63例患者得到随访，随访时间6～36个月，平均10个月。骨折全部愈合，肩锁关节无再脱位。［结论］锁骨钩钢板治疗锁骨外端骨折和肩锁关节脱位具有固定牢靠，不损伤关节面、关节功能恢复快等优点。

Abstract:

［Objective］To explore the advantage of clavicular hook plate on the treatment of acromioclavicular dislocation and distal cla-vicle fractures. ［Methods］ To study the clinical cases of surgical tr-eatment of acromioclavicular dislocation and distal clavicle fractureswith clavicular hook plate. From June 2002 to June 2005, 66 patients of fresh acromioclavicular dislocation and distal clavicle fracture-s were treated by internal fixtion with clavicular hook plate. 63 of 66 patients were followed-up, follow-up time from 6 months to 3 years. ［Results］ Sixty-two patients were excellent,1 patients was good. ［Conclusion］ Clavicular hook plate fixtion provide a effective operative skill for treatment of acromioclarvicular dislocation and distal clavicle fractures.