改良张力带固定治疗新鲜重度肩锁关节脱位

On the improved tension-band wire fixation in treating seriors dislocated acromioclavicular joint

目的 探讨改良张力带固定治疗重度肩锁关节脱位的疗效。方法 应用改良张力带固定治疗新鲜重度肩锁关节脱位 32例。结果 32例术后 X线片检查显示肩锁关节间隙恢复正常。获随访 30例中 ,平均随访时间 3年 1个月。术后 2 0～ 30 d,肩关节活动基本正常 ,45～ 70 d取出张力带 ,2～ 3个月可从事各种体力劳动。结论 改良张力带固定治疗新鲜重度肩锁关节脱位 ,创伤小 ,操作简单 ,可早期活动肩关节 ,疗效满意。

Objective Study on the curative effect of the improved tension band wire fixation in treating serious dislocated A C joint.Methods Use the improved tension band wire fixation in treating 32 cases of serious new dislocated A C joint.Results X ray tests show that all the dislocated A C joint have been recovered normally after the treatment.Out of the 32 cases,30 have been followed up on an average of 3 years and 1 month;all the dislocated A C joint returned to normal lever 20 30 days after the treatment;the tension band wire were taken away in 45 70 days;all the patients can do manual labour after 2 or 3 months.Conclusions The improvedtension band wire fixation,with its simple operation,causing only less wound and A C joint being able to exercise earlier,has been proved satisfactory and suitable to treat serious new dislocated A C joint. [