锁骨钩钢板的临床应用

The Clinical Application Of Clavicular Hook Plate

目的探讨锁骨钩钢板对锁骨远端骨折和肩锁关节脱位的疗效.方法对15例锁骨远端骨折和肩锁关节脱位的病人切开复位锁骨钩钢板固定(其中Neer Ⅱ型6例,Allman Ⅲ型9例).结果术后随访3～18个月,本组12例中骨折脱位全部愈合,肩关节功能优;有3例肩关节主动活动时,肩峰处有酸胀感,拆去固定物后,经功能锻炼症状消失.结论锁骨钩钢板是治疗锁骨远端骨折和肩锁关节脱位的一种可靠的方法.

Objective To analyze the effect to clavicular hook plate (CHP) in treating dislocation of the acromioclavicular joint and fractures of the distal clavicle. Methods 15 cases (6 cases of Neer Ⅱ, 9 cases of Allman Ⅲ) with acromioclavicular joint dislocation or distal clavicle fractures were treated with CHP and its effect was evaluated. Results Following up from 3 to 18 months, 12 of all cases were cured, and the shoulder joint function recovered well. 3 patients felt ache and bulge when initiatively moving the shoulder. But the symptoms disappeared by functional practice after withdraw of the fixing material. Conclusion CHP is a reliable way for acromioclavicular joint dislocation and distal clavicle fractures.