摘要
目的探讨钩状钢板在肩锁关节脱位治疗中的作用。方法采用切开复位锁骨钩钢板内固定治疗肩锁关节脱位29例。其中交通事故23例,摔伤6例。均为TossyIII型。术后患肢胸前悬吊固定一周后开始行患肩功能锻炼。结果 29例患者通过5~18个月随访,平均11.5个月,术后6~12个月X线片显示喙锁间距正常,肩锁关节无再脱位。按Karlsson评价标准：A级20例,B级6例,C级3例,优良率87.9%。结论肩锁钩状钢板损伤小,固定稳定,术后可早期行患肩功能锻炼。
Objective To explore the clinical effects of clavicular hook plate for treatment of dislocation of acromioclavicular joint.Methods 29 cases（TossyIII）with acromioclavicular dislocation was theated with CHP.Functional exercise of affected shoulder was done one week later after the operation.Results 29cases had been followed up for 6-8months（average11.5months）,the distance of coracoclavicular was normal and there was none acromioclavicular dislocation in 6-12months after operation.All these patients got A with 20 cases,B with 6 cases,C with 3 cases,and excellent plus good rate was 89.7% according to Karlsson result evaluation.Conclusion CHP has little injury,fixed steady,funcational exercise earlier.
出处
《中国实用医药》
2011年第4期31-32,共2页
China Practical Medicine
关键词
肩锁关节脱位
肩锁钩状钢板
内固定
Acromioclavicular dislocation
Clavicular hook plate
Internal fixation
