肩锁钩钢板治疗锁骨外端骨折和肩锁关节脱位77例分析.docVIP

精品论文 参考文献 肩锁钩钢板治疗锁骨外端骨折和肩锁关节脱位77例分析 于泓波（哈尔滨市第五医院骨科 黑龙江哈尔滨 150040） 【中图分类号】R683 【文献标识码】A 【文章编号】1672-5085 (2010)02-0019-02 【摘要】 目的 探讨AO和LINK肩锁钩钢板对锁骨外端骨折及肩锁关节脱位的临床治疗。方法 对我院2000年1月-2006年12月间77例锁骨外端骨折和肩锁关节脱位病人采用AO或LINK肩锁钩钢板治疗，术中均缝合，修复关节韧带，就两种类型钢板手术治疗结果进行对照分析。结果 77例中44例得到随访，随访时间为3-18个月，平均14个月。无钢板螺钉松动，断裂。77例中39例来我院取出钢板，取出后功能恢复良。结论 不论采用AO还是LINK肩锁钩钢板治疗锁骨外端骨折或肩锁关节脱位都是较好的治疗方法。手术方法简便，固定牢固，且可早期活动。至于，应用此类钢板治疗锁骨外端粉碎骨折仍有待于今后进一步研究。 【关键词】 肩锁关节 骨折 脱位 肩锁钩钢板 【Abstract】 To study the clinical application as well as treatment of AO and LINK steel plate of acromion-clavicular clasp towards outboard fracture and disloctation of the acromion-clavicular. Methods：77 cases were treated with AO and LINK steel plate of acromion-clavicular clasp during the period between Jan..2000 to Dec.2006.All the patients were sutured,and the ligaments of joint were repaired.Rdsults：Among 77 cases,44 were followed-up for average 14 months, followed-up time lasted 3-18 months. There were no flexibility and fragmentation of steel plate and screws.39 patientis came to extract steel plates and the curable effects were good. Conclusion：The treatment of both AO and LINK steel plate of acromion-clavicular clasp towards outboard fracture and disloctation of the actomion-clavicular are effective curable methods. The methods are simple and convenient , can be firmly fixed and the patients can move as move as early as possible.But the treatment towards splintered fracture of outboard collarbone still needs further study. 【Key words】 abromion-clavicular fracture luxation steel plate of acromion-clavicular clasp 对于锁骨外端骨折和肩锁关节脱位的治疗文献报告其方法较多。随着科学技术的进步治疗手段不断更新[1][2]。我院自2000年1月-2006年12月采用AO和LINK肩锁钩钢板治疗锁骨外端骨折，肩锁关节脱位计77例，其中AO钢板应用43例，LINK钢板应用34例。现就临床治疗结果分析报告如下。 1 临床资料与方法 1.1一般资料 77例病人男性54例，女性23例；年龄23-71髓，平均年龄47岁。77例病人均为新鲜创伤性骨折，其中锁骨外端骨折All man II-III型计29例[3]；肩锁关节脱位TOSSYIII型39例[4];锁骨外端粉碎骨折All　man V型9例。 1.2手术方法 在颈丛，臂丛或全麻下，肩部垫高成半坡位（抬高30度），采用锁骨远端至肩峰