锁骨钩钢板治疗锁骨远端骨折和肩锁关节脱位临床分析

Clinical analysis of clavicular hook plate for distal clavicle fracture and dislocation of the acromioclavicular joint

目的:探讨锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折的临床效果。方法:收治肩锁关节脱位和锁骨远端骨折的患者52例,依据治疗方法分为观察组34例施行锁骨钩钢板内固定治疗,对照组18例采用克氏针张力带内固定,进行回顾性分析,并将治疗效果及并发症对比分析。结果:两组术后平均随访1.5年,观察组的肩关节功能评定优良率97.1%,无1例并发症发生,对照组的肩关节功能评定优良率72.2%,并发症的发生率38.9%,观察组治疗效果明显优于对照组,差异有统计学意义(P<0.05)。结论:应用锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折取得较好的临床效果,手术操作方便且愈合后肩关节功能恢复理想。

Objective:To investigate the clinical effect of clavicular hook plate for acromioclavicular joint dislocation and distal clavicle fractures.Methods:From March 2012 to September 2013,52 patients admitted to the acromioclavicular joint dislocation and distal clavicle fractures,according to the treatment method,34 patients underwent clavicular hook plate fixation divided into the observation group,18 cases with Klinefelter needle tension band fixation in the control group,retrospectively analyzed,and analysis the treatment effects and complications.Results:The mean postoperative follow-up of 1.5 years,in observed group's assessment of shoulder function excellent rate was 97.1%,with no complications,the control group assessed shoulder function excellent rate was 72.2%,The and incidence of complications was 38.9%,the treatment effect in observation group was significantly better than the control(P<0.05).Conclusion:clavicular hook plate for acromioclavicular joint dislocation and distal clavicle fractures achieved better clinical results,easy to operate and healing after surgery to restore joint function ideal.