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锁骨钩钢板联合带线锚钉治疗TossyⅢ型陈旧性肩锁关节脱位
Hits: 1800   Download times: 1076   Received:January 22, 2014    
作者Author单位UnitE-Mail
徐志斌 XU Zhi-bin 武威市人民医院, 甘肃 武威 733000 People's Hospital of Wuwei City, Wuwei 733000, Gansu, China  
王进 WANG Jin 武威市人民医院, 甘肃 武威 733000 People's Hospital of Wuwei City, Wuwei 733000, Gansu, China softface007@126.com 
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


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
 
Clavicular hook plate combined with suture anchor for the treatment of type Tossy Ⅲ chronic acromioclavicular dislocation
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
 
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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