| 锁骨钩钢板联合带线锚钉治疗TossyⅢ型陈旧性肩锁关节脱位 |
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Received:January 22, 2014
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| 期刊信息：《中国骨伤》2014年27卷，第5期，第430-432页 |
| DOI：10.3969/j.issn.1003-0034.2014.05.019 |
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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Karlsson 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TossyⅢ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。 |
| [关键词]:肩锁关节 内固定器 脱位 |
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| Clavicular hook plate combined with suture anchor for the treatment of type Tossy Ⅲ chronic acromioclavicular dislocation |
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Abstract:
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 dislocation. 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.
Conclusion: 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 obtain satisfactory effects. |
| KEYWORDS:Acromioclavicular joint Internal fixator Dislocations |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐志斌,王进.锁骨钩钢板联合带线锚钉治疗TossyⅢ型陈旧性肩锁关节脱位[J].中国骨伤,2014,27(5):430~432 |
| 英文格式: | XU Zhi-bin,WANG Jin.Clavicular hook plate combined with suture anchor for the treatment of type Tossy Ⅲ chronic acromioclavicular dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(5):430~432 |
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