锁骨钩钢板治疗锁骨远端骨折及肩锁关节脱位

Treatment of distal clavicular fracture and acromioclavicular joint dislocation with clavicular hook plate

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疗效。方法 :应用锁骨钩钢板治疗锁骨远端骨折 1 3例 ,肩锁关节脱位 9例。结果 :2 2例患者随访 4～ 2 0个月 ,平均 1 0个月 ,骨折全部愈合 ,肩锁关节无再脱位。按Lazzcano评定标准 :优 1 8例 ,良 4例。结论 :锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位具有固定牢靠、不损伤关节面、操作简单、可早期功能锻炼、关节功能恢复快等优点 。

Objective:To study the curative effect of distal clavicular fracture and acromioclavicular joint dislocation with clavicular hook plate.Methods:Thirteen cases of distal clavicular fracture and 9 cases of acromioclavicular joint dislocation were treated with the clavicular hook plate.Results:Twenty two cases were followed up for 4 to 20 months,with an average of 10 months.All the fractures were healed and no redislocation was observed.The effects were excellent in 18 cases and good in 4 cases according to the Lazzcano standard.Conclusions:Treatment of distal clavicular fracture and acromiaclavicular joint dislocation with clavicular hook plate has the advantages of rigid fixation and no invasion of article surface,which will enable the patients to start functional exercises earlier and recovered more quickly.It is an ideal surgical method.