摘要
目的：观察锁骨钩钢板联合带线锚钉治疗TossyⅢ型陈旧性肩锁关节脱位的临床疗效。方法：自2008年1月至2012年12月，采用锁骨钩钢板联合带线锚钉治疗TossyⅢ型陈旧性肩锁关节脱位患者18例，其中男12例，女6例；年龄20～56岁，平均31．5岁；左侧10例，右侧8例。手术时间在伤后3周～4个月，平均1．8个月。术后2周开始功能锻练，对患者进行跟踪随访，按Karlsson评价标准评定疗效。结果：18例均获随访，时间6-24个月，平均16个月。按照Kaflsson标准评定疗效，优良17例，差1例。结论：采用锁骨钩钢板联合带线锚钉治疗TossyIY型陈旧肩锁关节脱位，通过带线锚钉精确修复了锥状韧带和斜方韧带，同时操作方便，创伤小，固定牢固，临床效果满意。
Objective ：To observe the clinical effects of clavicular hook plate combined with suture anchor in treating type Tossy Ⅲ chronic acromioclavicular dislocation. Methods：From January 2008 to December 2012,18 patients with type Tossy Ⅲ chronic acromioclavicular dislocation were treated with clavicular hook plate and suture anchor. There were 12 males and 6 females, aged from 20 to 56 years old with an average of 31.5 years. Ten cases were left dislocation and 8 cases were right dis- location. Operation time was 3 weeks to 4 months after injury with a mean of 1.8 months. Functional exercise was adopted 2 weeks after operation. And Karlsson standard was used to evaluate curative effect. Results ： All patients were followed up for 6 to 24 months with an average of 16 months. According to Karlsson standard, 17 cases were excellent and 1 was poor. Conclu- sion：Clavicular hook plate combined with suture anchor can repair conoid ligament and trapezoid ligament in treating type Tossy Ⅲ chronic acromioclavicular dislocation, and had advantages of simple operation, less trauma, stable fixation, it can ob- tain satisfactory effects.
出处
《中国骨伤》
CAS
2014年第5期430-432,共3页
China Journal of Orthopaedics and Traumatology
关键词
肩锁关节
内固定器
脱位
Acromioclavicular joint
Internal fixator
Dislocations
