锁骨钩钛板治疗锁骨外侧端(NeerⅡ型)骨折的体会

THE EFFECT AND PROBLEMS IN APPLICATION OF CLAVICLE HOOK PLATE TREATING THE FRACTURE OF LATERAL END OF CLAVICLE(NEER TYPE Ⅱ)

目的总结分析应用锁骨钩钛板治疗锁骨外侧端(NeerⅡ)型骨折的疗效。方法 2006年5月～2009年5月,对11例NeerⅡ型锁骨远端骨折采用锁骨钩钛板进行切开复位内固定术,对临床资料进行回顾性分析总结。结果 10例患者获得10～14个月的随访,平均6～8个月拆除内固定,其中1例患者钢板钩部由肩峰下脱出,1例随访期间再次锁骨骨折。但所有患者无肩关节功能障碍及感染、骨不愈合等并发症。结论对于NeerⅡ型锁骨外侧端骨折,锁骨钩钛板是一种较为安全、可靠的固定方法。

Objective To summarize the effect and problems of application of clavicle hook plate treating the fracture of lateral end of clavicle （ Neer type Ⅱ）. Methods From may 2006 to may 2009,11 unstable fracture of the lateral end of the clavicle （ Ncer type Ⅱ） was treated as open reduction and internal fixation with clavicle hook plate Results 10 cases was followed up for 6 - 10 months, plate removal on an average of 6 - 8 months postoperation, 1 case the plate had unhooked from beneath the acromion, 1 case got second fracture under plate because of sec- ond fall, all the patients got excellent shoulder function, all of them had no infection and un - union. Conclusion clavicle hook plate is a safe fixation for the lateral end of the clavicle （ Neer type Ⅱ）.