张力带与钩钢板治疗肩锁关节脱位42例疗效分析

The Analysis of Treatment Effect of Acromioclavicular Dislocation Treated with Tension Band Wiring or Clavicular Hook-plate

目的:探讨克氏针张力带内固定与锁骨钩钢板内固定治疗肩锁关节脱位的疗效。方法:分析评估我院2003年8月-2007年12月收治的42例肩锁关节脱位的临床疗效,其中19例以克氏针张力带固定(A组),23例以锁骨钩钢板固定(B组)。结果:所有病例均获随访,随访时间为4-12个月,平均9个月。按照Karlsson标准评定患者术后的功能,A组优占60%,良占30%,有两例出现钢丝断裂、克氏针向皮下脱出;B组优占80%,良占20%,无钢板断裂及螺钉松动。结论:锁骨钩钢板内固定治疗肩锁关节脱位是一种并发症少且可靠有效的方法。

Objective: To explore the treatment effect of acromioclavicular distocation treated with tension band wiring or clavicular hook-plate.Method: The treatment effect was analysed and evaluated in 42 cases of acromioclavicular dislocation in Aug.2003-Dec.2007.Among them,19 cases were treated with tension band wiring fixation (group A),23 cases were treated with clavicular hook-plate fixation (groupB).Result: The followed-up time was 4-12 months,9months averagly.According to Karlsson stardard,60% was excellent and 30% was good in group A,and wiring were broken in two cases.80% was excellent and 20% was good in group B.There was no plate broken.Conclusion: It's an effective method to treat acromioclavicular dislocation with clavicularhook-plate with few complications.