摘要
目的总结肩锁钩钢板内固定治疗TossyⅢ型肩锁关节脱位和锁骨远端Ⅱ型骨折的疗效。方法2004年10月至2008年6月,对32例肩锁关节脱位和锁骨外端Ⅱ型骨折患者采用切开复位肩锁钩钢板内固定治疗单纯肩锁关节脱位(TossyⅢ型)17例,锁骨肩峰端骨折(NeerⅡ型)12例,肩锁关节脱位合并锁骨肩峰端骨折3例。手术时间为2h～7d,平均3.5d。结果术后30例获得3个月～4年随访,2例失访。术后肩锁关节位置恢复,肩关节外展上举活动范围达90°～180°,4例在举重物时肩锁关节有轻度的疼痛,1例肩关节外展80°时肩锁关节开始疼痛,患侧上肢肌力较健侧稍减弱。结论肩锁钩钢板内固定可恢复肩锁关节的解剖位置和微动特性,是治疗重度肩锁关节脱位和锁骨外端Ⅱ型骨折的良好术式。
Objective To summarize the results hook plate fixation for treatment of Tossy Ⅲ dislocation of the acromioclavieular joint and fracture of distal clavicl. Methods 32 cases with total aeromioclavicular joint dislocation were treated with hook plate fixation from October 2001 to June 2008. According to the Tossy classification, 17 cases were type Ⅲ dislocation, 12 cases were type Ⅱ fracture of distal. The duration from dislocation to treatment varied from 2 hours to 7 days with anaverge of 3.5 days. Results Postoperatively 30 cases were followed-up for 3 - 48 months. The other 2 cases were lost to sufficient follow-up. The acromioclavicular joints had complete reduction. Range of motion of the shoulder had no apparent limitation. 4 patients had mild pain in the acromioclavicular joints at the course of abduction degree. Muscle force of one patient was weaker than the contralateral shoulder. Conclusion Hook plate fixation is believed to be a good and simple method for the treatment of acromioclavicular joint dislocation and fracture of distal clavicl. The procedure can maintain the anatomy reduction, debride the damaged joint surface and remain the physiologic characteristics.
出处
《中国实用医药》
2009年第1期28-29,共2页
China Practical Medicine
关键词
肩锁关节
脱位
内固定器
治疗结果
Aeromioclavicular joint
Dislocations
Internal fixators
Treatment outcome
