带钢丝克氏针固定治疗肩锁关节脱位

Treatment of patients with dislocation of acromio clavicular joint using kuntsher nail with steel wire:Report of 27 cases

为了探讨外伤性肩锁关节脱位的治疗方法，作者１９８５年４月～１９９３年５月应用带钢丝克氏针行肩锁关节固定治疗肩锁关节脱位２７例，术后随访１年１０个月～９年。随访结果显示：无痛、无畸形，肩关节功能完全恢复者２５例（９２．６％）；无痛、无畸形，肩外展正常，上举受限＜２０°者２例（７．４％）；无１例出现合并症。作者认为，带钢丝克氏针固定治疗肩锁关节脱位，明显优于传统的二根交叉克氏针内固定术，与其他手术方法比较也有操作简单，关节面损伤小，固定牢固，副作用少等优点。

There has been much controversy about ways of operation of the traumatic dislocation of acromio clavicular joint.Our studies revealed that internal fixation of acromio clavicular joint using kuntsher nail with steel wire is superior to traditional internal fixation of crossing kuntsher nail.We treated 27 cases in this way who were followed up for 22 months to 9 years.Excellent result was achieved in 25 cases (92 6%) and good in 2 (7 4%).No complication was observed.We conclude that the way of internal fixation using kuntsher nail with steel wire to treat the dislocation of acromio clavicular joint has following advantages:(1) simple operation ;(2)minimum injury to articular surface ;(3) stable internal fixation ;and (4) no side effect.