摘要
目的:探讨锁骨远端和肩锁关节脱位的治疗方法和疗效。方法:对30例肩锁关节脱位和锁骨远端粉碎骨折切开复位,锁骨钩钢板内固定,术后早期功能锻炼。结果:30例患者术后X线检查肩锁关节间隙正常,骨折对位好。术后随访129d,疗效评价:优25例,良4例,差1例,优良率为94.5%,均无钢板感染、断裂等。结论:锁骨钩钢板适合以外形呈S形状的锁骨骨折的内固定治疗,固定稳固利于患者早期坚固功能锻炼,是一种值得推荐的治疗方法。
Objective：To explore the treatment of distal clavicular fraction and acromioclavicular dislocation.Methods：Employed open reduction and internal fixation with clavicular hook plate to 30 cases with acromioclavicular dislocation and distal clavicular comminuted fraction,and performed early functional exercise after surgery.Results：X-ray showed that 30 cases had normal acromioclavicular joint and satisfactory fraction para position.One hundred and twenty nined follow-up displayed 25 cases were at excellent grade,4 at good with excellent and good rate as 94.5%.No infectin or fracture of plate occurred.Conclusion：Clavicular hook plate is suitable to internal fixation for claviculer fraction except for fraction with S shape.It is helpful in early function exercise and deserves clinic application.
出处
《海南医学院学报》
CAS
2010年第4期473-473,479,共2页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100120)~~
关键词
锁骨钩钢板
锁骨粉碎性骨折
肩锁关节脱位
Clavicular hook plate
Clavicular comminuted fracture
Acromioclavicular dislocation
