摘要
目的观察链式钢板改制钩钢板后内固定治疗肩锁关节脱位的效果.方法按改良Rockwood分类,Ⅲ型以上肩锁关节脱位6例,均采用链式钢板改制的钩钢板内固定.结果改制的钩钢板符合锁骨'S'状外形,钩部分插入尖峰下端,对肩袖的影响较小,固定后肩关节极度外展时与肱骨头不发生撞击,对正常生理结构干扰极少,术后不用外固定,利于肩关节的早期功能锻炼.随访9个月～3年,按JOA评分标准,90～95分5例,80～89分1例.综合评价优良.结论链式钢板改制钩钢板取材容易,治疗肩锁关节脱位固定确切,操作简单,疗效可靠.
Objective To observe the clinical results of the modified hook plate made from chain plate for dislocation of acromioclavicular joint. Methods 6 cases of over type Ⅲ acromioclavicular joint dislocation according to modified Rockwood classification were treated with modified hook plate from chain plate. Results The distal hook made from the modified chain plate was accommodated to the “S” shaped clavicle and could be inserted just beneath the acromion without collision with the head of humerus at the position of extreme abduction or intervention to the normal physical structure of the acromioclavicular joint. All cases could do early functional exercises without additional external fixation. According to the standard JOA shoulder score, after 9 months to 3 years follow-up, the results was 90~95 scores in 5 cases and 80~89 scores in 1. The comprehensive evaluation was excellent and good. Conclusions The modified hook plate is a good alternative for dislocation of acromioclavicular joint for its stable fixation, easily acquirement, simplicity in manipulation and good clinical results.
出处
《临床骨科杂志》
2005年第2期126-128,共3页
Journal of Clinical Orthopaedics
关键词
肩锁关节脱位
链式钢板
骨折固定术
内
acromion-clavicular joint dislocation
chain plate
fracture fixation, internal
