WOLTER钢板治疗陈旧性肩锁关节脱位

Treatment of old acromio-clavicular dislocation with Wolter hook plate

目的 探讨治疗陈旧性肩锁关节脱位的新方法。方法 应用Wolter肩锁钩钢板治疗陈旧性肩锁关节脱位 5例 ,术后随访 5～ 2 2个月 ,平均 1 3个月。结果 所有病例均解剖复位 ,术后 4周～ 3个月肩关节外观及功能恢复满意 ,随访未见钢板断裂和松动的表现 ,2例去除内固定后未见脱位复发。疗效优 4例 ,良 1例。

Objective To probe into the new method for treatment of old acromio clavicular dislocation.?Methods?Five patients with old acromio clavicular dislocation were treated with Wolter hook plate.?All patients were followed up.?The follow up periods lasted from 5 to 22 months with an average of 13 months.?Results All cases received perfect reduction,both appearance and function of the shoulder joints were satisfactory four weeks to three months postoperatively.?Neither acromio clavicular joint redislocation accurred in the two patients whose plates were removed nor breakage or lossening of the plates were observed.?The result was excellent in four patients and good in one patient.?Conclusion Wolter hook plate is a good surgical method for treatment of old acromio clavicular dislocation.