【作者】 周慧慧；

【导师】 赵智；

【作者基本信息】 大连医科大学 ， 骨外科学， 2011， 硕士

【摘要】 目的:通过AO锁骨钩钢板(Clavicular Hook plate,CHP)及克氏针张力带钢丝两种方法治疗肩锁关节脱位的疗效比较,讨论AO锁骨钩钢板在临床治疗中的作用。方法:A组对26例肩锁关节脱位的患者采取切开复位,采用AO锁骨钩钢板作内固定。其中,单纯肩锁关节脱位者19例,肩锁关节脱位伴锁骨远端骨折者7例。B组17例肩锁关节脱位患者采取切开复位,采用克氏针张力带钢丝内固定。其中,单纯肩锁关节脱位者14例,肩锁关节脱位伴锁骨远端骨折者3例。结果:术后全部随访,时间10-18个月,平均15.0个月。按karhson疗效评价标准,A组优23例,占88.5%,良3例,占11.5%,优良率达100%。B组优12例,占70.6%,良3例,占17.6%,另有2例因张力带钢丝断裂致手术失败,优良率达88.2%。结论:该内固定方式符合生物力学要求,操作简便,固定可靠,较克氏针张力带钢丝内固定技术并发症少。更多还原

【Abstract】 Objective: A retrospective study had been done to analyze the preliminary effects of clavicular hook plate technique for treating acromioclavicular joint dislocation.Both internal fixation with Kirschner tension band wires and internal fixation with AO clavicular hook plates were used on treating the aeromioclavicular joint dislocation.Method: We divided all the patients into two groups.Group A a total of 26 patients (with complete dislocation of acromioclavicular joint19,with complete dislocation of acromioclavicular joint and fracture of distal clavicle 7) were treated by AO clavicular hook plate technique.Group B a total of 17 patients (with complete dislocation of acromioclavicular joint14,with complete dislocation of acromioclavicular joint and fracture of distal clavicle 3) were treated by Kirschner tension band wires. All of them were followed up for (10 tO 18) months(average,15 months).Results: According to Karlsson’s standard,in group A,23 cases were graded as excellent and 3 eases were graded as good.There was no new dislocation and other complications after operation.In group B,12 cases were graded as excellent and 3 eases were graded as good.There are two patients’ operations were failure owing to the broken of the Kirschner tension band wires.Conclusion: The treatment with clavicular hook plate for acromioclavicular joint dislocation has significant effects.更多还原