肩锁关节脱位锁骨钩钢板固定并发症剖析.docVIP

肩锁关节脱位锁骨钩钢板固定并发症剖析 　　【摘要】 目的：探讨锁骨钩钢板固定治疗肩锁关节脱位的临床疗效以及并发症发生情况。方法：选取本院2008年10月-2011年12月期间行锁骨钩钢板治疗的78例肩锁关节脱位患者，均行锁骨钩钢板固定治疗。分析所有患者的临床疗效、治疗后并发症情况。结果：本院对78例肩锁关节脱位患者进行为期半年至3年的调查随访工作，其中7例患者于拆除锁骨钩钢板3个月后，出现了肩锁关节脱位复发情况，程度相对较轻。并发症分析：肩峰下骨磨损、撞击、锁骨骨折、钩钢板螺钉松动、板断裂。结论：对肩锁关节脱位患者，实施锁骨钩钢板固定治疗，效果显著。但是也存在明显的并发症，所以应在全面了解锁骨钩钢板的基础上，进行设计改进，以降低并发症的发生比例。 　　【关键词】 肩锁关节； 锁骨钩钢板； 并发症 　　Analysis of the Acromioclavicular Joint Dislocation with Clavicular Hook Plate Fixation Complications/XU Liang.//Medical Innovation of China，2013，10（35）：142-143 　　【Abstract】 Objective：To study the effect and complications of clavicular hook plate fixation for the acromioclavicular joint dislocation clinical curative.Method：Seventy-eight patients with acromioclavicular joint dislocation in our hospital from October 2008 to December 2011 were selected，all patients were treated with clavicular hook plate fixation.The clinical efficacy and complications after treatment of the patients were analyzed.Result：Our hospital invested and followed 78 cases of the acromioclavicular joint dislocation for half a year to 3 years，including 7 cases in the demolition of clavicle hook plate after 3 months.The recurrence of the acromioclavicular joint dislocation was relatively lighter.Complications analysis：shoulder peak bone under wear，impact，collarbone broken，hook plate screw loosen，plate fracture.Conclusion：For patients with acromioclavicular joint dislocation，the effect of implementation of clavicular hook plate fixation treatment is remarkable.Yet obvious complications still exists，so treatment should be based on full understanding of clavicle hook plate，design improvement，in order to limit the occurrence of complications. 　　【Key words】 The acromioclavicular joints； The clavicle hook plate； Complications 　　First-author’s address：Linyi Health School，Linyi 276002，China 　　doi：10.3969/j.issn.1674-4985.2013.35.068 　　肩锁关节脱位，属于常见性肩部损伤之一。肩锁关节脱位原因分析：人体进行上肢内收的过程中，由于暴力推挤的影响，发生了肩峰向内下方移位的情况。轻度患者多行保守治疗，效果明显。而重度脱位患者，均需进行手术治疗，才能够保证预后恢复效果。肩