治疗肩锁关节脱位的两种常用方法的疗效分析.pdfVIP

厶 ，口 疗肩锁关节脱位的两种常用方法的疗效分析 唐灿锐 谭建基 罗定市人民医院创伤骨科 广东罗定 527200 摘 要 目的 探讨锁骨钩和克氏针治疗肩锁关节脱位的效果。方法 对3 8例肩锁关节脱位的患者分别 进行锁骨钩内固定和克氏针内固定。术后按照Ka r 1 s s on的评分标准，对患者进行优、良、差的评价，并 比较两种治疗方法在住院时间、脱位愈合时间方面的差异。结果 按照Ka r 1 s s on的评分标准，锁骨钩组 的优良率为9 5．2 4％，而克氏针组的为7 1．4 3％，两者比较有统计学意义 (P0．0 5)；锁骨钩组在住院 时间和愈合时间方面明显优于克氏针组，两组比较有统计学意义 (P0．0 5)。结论 锁骨钩钢板固定可 靠， 可以早期进行功能锻炼， 是治疗完全性肩锁关节脱位的一种可靠的方法，值得推荐。 关键词 肩锁关节 脱位 克氏针 锁骨钩 疗效 Therapeut i C effect ana I ys i S of the two common I Y used methods to t reat ac r om i oc l av i ca l a r d i S l ocat i on TANG Can—rui TAN Jian—j i Department of 0rthopaediCS and Traumatology，Luoding pepole’s Hospital，Luoding 527200 Guangdong China Abstract Objective To evaluate the effectS of ClaviCUlar hook Plate and Kirschner wire to to treat acromiOClaviCUlar diSlocation．Methods 38 patientS with acromiOClaviCUlar diSlocation were taken operation with ClaviCUlar hook Plate or Kirschner wire． they were evaluated excellent， good and poor with the KarlSson’evaluation criteria ，and comparaed in the length of stay， healing time．Result the excellent rate of clavicular hook plate was 95． 24％， and the excellent rate of Kirschner wire was 71．43％。 there was a stati SticallY Significant difference between the two methodS(尸0．05)．The group of ClaviCUlar hook plate was higher than the Kirschner wire in the length of stay and the healing time， there was all a statisticallY Significant difference between the two methods(P0．05)．Conclsion Clavicle hook plate，which can provide reliable fixation and allow early functional exercise， is a sound way for complete acromioclavicular joint dislocation．It iS worthy of recommending． Key words AcromioclaviCUlar joint DiSlocation Kirschner wire ClaviCUlar hook plate Efficacy 中图分类号：R684．7 文献标识码：A 文章编号：1 007-1 24 5(2 008)1 6—003 3—04 肩锁关节脱位多见于青壮年，占肩部损伤的12％ 张力带钢丝固定、阔筋膜喙突韧带修补术、经喙突的 [1] ， 多由直接暴力引起，常见于摔倒时肩外侧着地， 钢丝环扎、锁骨钩固定等。现将我科使用克氏针和锁 受直接外力作用于肩峰，通过肩锁关节传至锁骨，造 骨钩治疗38例肩锁关节脱位的效果总结如下。 成肩锁韧带、喙锁韧带断裂，使肩锁关节完全脱位，