《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (08): 774-775.

• 临床研究 • 上一篇    下一篇

锁骨钩钢板治疗肩锁关节脱位合并锁骨远端骨折的临床研究

张庆民; 刘强; 刘祖耀; 陈殿明; 李强; 张洪剑   

  1. 北京康复中心,北京市 100144
  • 收稿日期:2008-01-24 出版日期:2008-08-01 发布日期:2008-08-01

Clinical Study of Treating Acromioclavicular Joint Dislocation Associated with Distal Clavicular Fracture by Clavicular Hook Plate

ZHANG Qing-min, LIUQiang, LIU Zu-yao, et al   

  1. The Department of Orthopaedics, Beijing Rehabilitation Center, Beijing 100144, China
  • Received:2008-01-24 Published:2008-08-01 Online:2008-08-01

PDF (PC)

被引次数

7

摘要： 目的探讨肩锁关节脱位合并锁骨远端骨折的特点及治疗方法。方法肩锁关节脱位合并锁骨远端骨折的患者28例,骨折脱位按Allman分类法为Ⅰ型4例、Ⅱ型14例、Ⅲ型10例;骨折类型:横型9例、斜型14例、粉碎型3例、撕脱型2例;新鲜损伤24例、陈旧损伤4例;开放性骨折3例,保守治疗失败1例。28例患者均行锁骨钩钢板手术治疗。术后强调早期功能锻炼,并进行随访,采用Karlsson分类进行疗效评估。结果28例患者随访时间6～26个月,平均14.6个月。疗效按Karlsson分类为,A级17例、B级8例、C级3例,优良率89.3%。结论肩锁关节脱位合并锁骨远端骨折是一种不稳定骨折,常伴有多个韧带的撕裂,对此类损伤应及时采用有效的内固定及修复韧带。

关键词: 肩锁关节, 脱位, 锁骨远端骨折, 锁骨钩钢板

Abstract: Objective To discuss the treatment of acromioclavicular joint dislocation associated with clavicular distal end fracture and remedial means.Methods 28 cases of acromioclavicular joint dislocation associated with clavicular distal end fracture were treated with clavicular hook plate.28 patients included 4 cases of Allman's type Ⅰ,14 cases of type Ⅱ,10 cases of type Ⅲ.Classification of fracture included 9 traverse cases,14 oblique cases,3 comminuted cases,and 2 avulsion cases.There were 24 acute injury cases,4 obsolete injury cases.3 cases were open fractures.1 case was not successful by conservative management.After operation,early rehabilitation was emphasized and following-up was performed.The therapeutic effect was assessed with Karlsson standard.Results 28 patients were followed up for an average of 14.6 months(6～26 months).According to Karlsson standard:17 cases got A level,8 cases got B level,3 cases got C level.The rate of excellence was 89.3%.Conclusion Acromioclavicular joint dislocation associated with clavicular distal end fracture is not steady fracture and complicated with many ligaments avulsion often.Effective internal fixation on time and ligament repaired is necessary.

Key words: acromioclavicular joint, dislocation, clavicular distal end fracture, clavicular hook plate