Neerclavicular hook plate for distal clavicle fracture and Tossytype of dislocation of acromioclavicular joint.doc

 PAGE \* MERGEFORMAT 6 Neerclavicular hook plate for distal clavicle fracture and Tossytype of dislocation of acromioclavicular joint Of: Zou Chun Jin, Sun Fengxiang, Ji Yong Zhu, Wen-Xiang Zhang, Han Naifu [Abstract] investigate AO clavicular hook plate Neer distal clavicle fracture and Tossy type of dislocation of acromioclavicular joint efficacy of using this method for treatment of 48 cases were retrospectively analyzed. Followed up for 10 to 24 months, fixed good effect, good rate. [Keywords:] clavicular fracture; acromioclavicular joint; joint dislocation; plate Of 2004 3 months to July 2007 using AO clavicular hook plate for distal clavicle fracture Neer and Tossy type of dislocation of acromioclavicular joint, better, are as follows. Clinical data 1 General information The patients in 48 cases, 18 cases of male and female 30 cases; aged 17 to 56 years, average 33.5 years old. The causes of injury: road traffic injuries in 21 cases, 13 cases of bicycle falls, fall injury in 6 cases, complex injury in 8 cases. clavicle fracture: 18 cases of right, left 11; acromioclavicular joint dislocation: the right side in 12 cases, left in 7 cases. injury to operation 2 to 7 days, an average of 4.5 days. 2 treatment with cervical plexus, brachial plexus anesthesia or general anesthesia, the supine position. Incision from the lateral clavicle 1 / 3 of clavicle after acromioclavicular joint ends to remove the broken joint disk, clear the clot clavicle fracture fragments, dislocation reduction of the acromioclavicular joint and fracture site, the broken acromioclavicular ligament coracoclavicular ligament suture ends, no tie, rope tie plate and then placed in a fixed, the Ministry will hook into the hook plate in the bottom of the acromion after, one by one drilling, sounding, then screw into the cone show the appropriate length of screw, plate body at least three screws. coracoclavicular ligament in 4 patients and severe tear, you can not sutur