Clavicular hook plate in the treatment of unstable distal clavicle fractures Acromioclavicular joint dislocation analysis of 79 cases.docVIP

 PAGE \* MERGEFORMAT 5 Clavicular hook plate in the treatment of unstable distal clavicle fractures Acromioclavicular joint dislocation analysis of 79 cases [Keywords:] clavicular hook plate for unstable distal clavicle fracture dislocation of acromioclavicular joint Since our hospital since May 2004, using clavicular hook plate in the treatment of unstable distal clavicle fractures Acromioclavicular joint dislocation in 79 cases, achieved good effect, these are as follows. 1 Data and methods 1.1 General Information The group of 79 cases, 56 cases were male and 23 females, aged 19 to 68 years. Cause of his injuries: 53 cases of car accident injuries, falls in 9 cases, injured after 17 cases of pressure; unstable distal clavicle fractures in 57 cases, 22 cases of acromioclavicular joint dislocation. 1.2 surgical Use of cervical plexus anesthesia, patient was supine, ipsilateral shoulder Xiadian a thin pillow to raise the risk of shoulder. Based on injuries in the remote area from the clavicle to the acromion to make arc incision fully reveal the fracture dislocation of the paragraph or acromioclavicular joint, clear the fracture hematoma, intra-articular fracture of the articular cartilage, if found coracoclavicular ligament rupture, it could be stitched patch . Then, reset the fracture or dislocation of the acromioclavicular joint, placement clavicular hook plate shall, before the pre-bent steel plate and steel hooks plastic to make it consistent with normal physiological anatomy of clavicle, and then the steel hook close to posterior edge of acromioclavicular joint After the insert below the acromion will screw fixation plate on the clavicle segment. Activities shoulder, fracture no abnormal activity, well-connected acromioclavicular joint, shoulder and did not block the activity of a good feeling. Last layer by layer suture the wound. If no special postoperative discomfort, for the conduct of ipsilateral shoulder joint functional exercise. 2 Results