摘要
目的观察运用AO/ASIF锁骨钩钢板(Clavicular Hook Plate)对NeerⅡ型的锁骨远端骨折和TossyⅢ型的肩锁关节脱位进行切开复位内固定手术的临床效果.方法从2001年7月至2003年8月,运用AO/ASIF锁骨钩钢板及韧带修补技术,治疗了17 例急性锁骨远端骨折(NeerⅡ型)和肩锁关节脱位(TossyⅢ型)的患者.平均年龄33 岁,随访时间6～16个月,平均9个月.结果所有患者均获得良好复位和固定,术后1周能进行肩关节主动活动,术后2周平均屈曲90°,外展90°,术后6周均完全恢复日常生活和工作能力.随访的X线肩锁关节无再脱位,钢板断裂和松动的表现,锁骨骨折全部愈合,无并发症发生.内固定取出后,无再脱位的病例,关节功能恢复良好率100%.结论 AO/ASIF锁骨钩钢板是治疗TossyⅢ型肩锁关节脱位和NeerⅡ型锁骨远端骨折的一种可靠、值得推广的方法.
Objective To analyze the effects of lateral clavicular fracture （Neer Ⅱ） and acromioclavicular joint dislocation （Tossy Ⅲ） treated with AO/ASIF Clavicular Hook Plate. Methods From July 2001 to August 2003, 17 patients with acute lateral clavicular fracture （Neer Ⅱ） and acromioclavicular joint dislocation （Tossy Ⅲ） were treated with AO/ASIF clavicular hook plate combined with ligment suture. The mean age was 33 years old. The average follow up time was 9 months. Results All patients got good reduction and fixation and started active shoulder mobilization after one week of operation. All patients obtained satisfying motion with average 90 degrees of flexion and 90 degrees of abduction two weeks after operation, and resumed ordinary life and work six weeks after operation. Neither acromioclavicular joint subluxation nor breakage and loosening of the clavicular hook plate were observed. No refracture of the clavicular or subluxation of acromioclavicular joint occurred after removing of the implants with 100% of joint function recovery. No complications were found. Conclusion Clavicular hook plate combined with ligment suture is a reliable and effective surgical treatment for lateral clavicular fracture （Neer Ⅱ） and acromioclavicular joint dislocation （Tossy Ⅲ）.
出处
《实用骨科杂志》
2005年第4期305-306,共2页
Journal of Practical Orthopaedics
关键词
肩锁关节
锁骨
脱位
骨折
acromioclavicular joint
clavicle t dislocation
fracture
