肩锁关节外固定器治疗肩锁关节脱位的临床观察

Acromioclavicular external fixator for the treatment of dislocation of acromioclavicular joint

目的 观察自行研制的肩锁关节外固定器治疗肩锁关节脱位的临床疗效及其优势。方法 2 9例Ⅱ～Ⅲ度肩锁关节脱位的患者 ,采用闭合手法复位后再行经皮肩锁关节外固定器固定 ,固定时间 4～ 6周 ,全部患者随访 3～ 2 4个月。结果 根据Lazzcana的判定标准 ,2 4例优 ,5例良。结论 肩锁关节外固定器针对肩锁关节的解剖与功能特点 ,设计成肩胛冈与锁骨远端间固定 ,能克服肩锁关节脱位后的病理应力 ,结构简单 ,操作方便 ,固定可靠 ,较之肩肘加压及穿针等固定方式均有优势。

Objective To observe the clinical effect and superiorty of acromioclavicular external fixator on dislocation of acromioclavicular joint Methods 29 cases of dislocation of acromioclavicular joint were treated with closed reduction and percutaneous fixation with acromioclavicular external fixator for 4～6 weeks.All patients were followed from 3～24 months.Results According to the criteria of Lazzcanas,24 had excellent results and 5 good.Conclusion In order to have anatomic and functional charateristics of acromioclavicular joint,the acromioclavicular external fixator can overcome pathological stress after acromioclavicular dislocation by fixing the scapulae spina and distal clavicle.Its simple structure, convenient manipulation and firm fixation lent itself being a superior apparatus than the shoulderelbow pressure and fixation with wiring