摘要
目的 评价不稳定性锁骨外侧端骨折及肩锁关节脱位的治疗方法和临床疗效。方法 对 1 0 9例不稳定性锁骨外侧端骨折及肩锁关节脱位患者分别行手术切开复位克氏针内固定、克氏针张力带内固定与锁骨钩钢板内固定治疗。平均随访时间 1 5年 ,采用Karlsson评分标准评估治疗效果。结果 优良率为 80 7% (88/1 0 9) ,其中克氏针内固定组优良率为 73 8% ,克氏针张力带内固定组优良率为 78 9% ,锁骨钩钢板内固定组优良率为 93 1 % ;前两组与后一组相比较 ,有显著性差异 (P <0 0 5 ) ,锁骨钩钢板内固定组优良率最高。结论 对不稳定性锁骨外侧端骨折及肩锁关节脱位 ,锁骨钩钢板内固定疗效最佳 ,对新鲜骨折脱位手术中不一定要修复喙锁韧带。
Objective To evalute surgical treatment and its clinical results of unstable lateral clavicular fracture and acromioclavicular dislocation.Methods One hundred and nine patients with unstable lateral clavicular fracture and acromioclavicular dislocation were treateded with open reduction and one of the three fixation methods:Kirschner wire;Kirschner wire plus tenson bend;clavicular hook plate.These patients were followed-up for an average 1 year.The results were evaluated according to Karlsson criterion.Results The good and excellent rate was 80 7% on the whole.The good and excellent rate was 73 8% in group of Kirschner wire fixation,78 9% in group of Kirschner wire plus tenson bend and 93 1% in group of clavicular hook plate.There was significant difference between group of clavicular hook plate and other groups(P<0 05).Conclusion Clavicular hook plate fixation is the best method to treat unstable distal clavicular fracture associated with acromioclavicular dislocation.Coracoclavicular ligament and acromioclavicular ligament shouldnt be repaired for fresh fracture and dislocation.
出处
《骨与关节损伤杂志》
2004年第6期367-368,共2页
The Journal of Bone and Joint Injury