锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位的疗效评价

Curative effect of clavicular hook plates on treating distal clavicle fracture and acromioclavicular dislocation

目的评价肩锁钩钢板在治疗NeerⅡ型锁骨远端骨折和完全性肩锁关节脱位（TossyⅢ型以上）的临床疗效。方法2002年2月—2007年2月84例锁骨远端骨折,32例肩锁关节脱位,采用切开复位肩锁钩钢板固定。结果随访6-30个月,116例病例全部愈合。按Karlsson疗效评价,A107例,B6例,C3例。结论锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折,固定确切,创伤小,不损伤关节面,可早期行功能锻炼,无需刻意修复喙锁韧带、喙肩韧带。

Objective To study the curative effect of clavicular hook plate （CHP） on treating acute distal clavicle fracture （ Neer Ⅱ ） and acromioclavicular dislocation （ at least Tossy Ⅲ ）. Methods From February 2002 to February 2007,84 cases with distal clavicle fracture （Neer Ⅱ ）and 32cases with acromioclavicular joint dislocation were treated by open reduction and internal fixation with CHP. Results All cases were followed up for 6 - 30 months. All got bony union. According to Karlsson system, there were 107, 6, 3 cases being A, B, C respectively. Conclusion The treatment of dislocation of acromioclavicular articul ation （ Tossy Ⅰ type） and fracture of the acromion end of clavicle （ Neer m type） with the clavicular hook plate displays the advantages of rigid fixation, less invasion, non-invasion into articular surface, possibility of early functional exercise and no need to intend to restorate coracoclavicular ligament and acromiocoracoid ligament.