AO锁骨钩钢板固定治疗锁骨远端骨折伴肩锁关节脱位的应用研究

Treatment of fracture of the distal clavicle with dislocation of the acromioclavicular joint by the clavicular hook plate of the AO

目的:探讨应用AO锁骨钩钢板(CHP)治疗锁骨远端骨折伴肩锁关节脱位的实用价值。方法:对1999年8月～2007年4月收治的锁骨远端骨折伴肩锁关节脱位28例,均采用AO锁骨钩钢板(CHP)内固定治疗,对其临床资料进行回顾性分析。结果:全部骨性愈合,随访8～48个月,平均23个月。无钢板断裂、螺钉松动、感染及再脱位,无骨折不愈合病例,肩关节功能均恢复良好。CHP取出时间8～17个月,平均11个月。结论:CHP对锁骨远端骨折并肩锁关节脱位治疗效果理想,骨折不愈合可以避免,并且可以早期功能练习,使骨折愈合与功能恢复同步进行,而且具有操作简单、易掌握、损伤小、疗效确切的特点,值得临床应用推广,是目前有效治疗此种损伤的最佳方法。

Objective To explore the practical value of the treatment of fractures of the distal clavicle with dislocation of the acromioclavicular joint fixed by clavicle hook plate of the AO （CHP）. Method A retrospective analysis of 28 eases of fracture of the distal clavicle with dislocation of the acromioclavicular joint in our hospital from Aug 1999 to Apr 2007 fixed by CHP were studied. Results Follow - up lasted from 8 to 48 months （ average of 23 months）, all cases acquired fracture union. None of fracture ununited, infection, redislocation, screw loosen, plate broken were found. Functions of the shoulder joint were excellent. The CHP - removed time was 8 to 17 months, with an average of 11 months. Conclusion The results that CHP fixed fracture of the distal clavicle with dislocation of the acremioclavicular joint are ideal. Fractures ununited is avoided. Early functional exercise promotes fracture healing with function recovered at the same tine. CHP is relatively simple with less injury, rapid postoperative recovery, convenient application, less operative, less complications and should be recommended extensively in clinicle application . Therefore, The CHP fixation is the best method of effective treatment of the trauma at present.