AO锁骨钩钛板在Rockwood Ⅲ°～Ⅵ°肩锁关节损伤中的应用

The Application of AO Collar Bone Hook Titanium Plate in the Treatment of Rockwood Ⅲ°-Ⅵ° Acromioclavicular Joint Disorder

目的总结AO锁骨钩钛板治疗RockwoodⅢ°～Ⅵ°肩锁关节损伤的临床疗效。方法采用AO锁骨钩钛板治疗RockwoodⅢ°～Ⅵ°肩锁关节损伤27例。术中,于肩锁关节复位后放置钛板,并修补关节囊及肩锁、喙锁韧带。结果患者术后切口均Ⅰ期愈合,肩锁关节脱位得到纠正,无血管、神经损伤等并发症发生。本组患者术后随访6～15个月。术后3～6个月取出锁骨钩钛板。术后6个月疗效评价,优23例,良3例,差1例,优良率为96.8%。结论 AO锁骨钩钛板治疗RockwoodⅢ°～Ⅵ°肩锁关节损伤具有创伤小,可早期锻炼等优点,值得临床推广。

Objective To explore the application of AO collar bone hook titanium plate in treating Rockwood Ⅲ°～Ⅵ° acromioelavicularjoint disorder. Methods Twenty-seven patients with Roekwood Ⅲ°～Ⅵ° acromioclavicularjoint disorder were treated using AO collar bone hook titanium plate. After the replacement of aeromioclavicular joint fixed by AO collar bone hook titanium plate, the joint capsule, shoulder lock ligament and beak lock ligament were also fixed. Results All the patients were healed by first iutension, the aeromioelavieular joint disorder were corrected and no complications occurred. All the patients were followed for 6-15 months. The AO collar bone hook titanium plate were taken out 3-6 months after surgery. Function of the acromioclavicular joint was estimated by Karlsson criteria： the results were excellent in 23 cases, good in 3 cases and poor in 1 case. Choiceness rate was 96.8%. Conclusion Using AO collar bone hook titanium plate in treating Rockwood mo-wo acromioclavicular joint disorder could minimize the surgical trauma, and early functional exercise could be performed. It should be advocated.