摘要
目的探讨不修复喙锁韧带仅用锁骨钩钢板固定治疗急性Tossy型肩锁关节脱位的效果。方法2004年9月至2007年8月共收治12例急性Tossy型肩锁关节脱位患者,对其使用AO/ASIF锁骨钩钢板复位固定肩锁关节,均未修复喙锁韧带,手术后早期开展功能锻练,平均手术后8个月（6～9个月）取出锁骨钩钢板。结果12例均获随访,随访时间2～5个月,平均3个月。按Karlsson疗效评价标准,优75%,良17%,差8%,优良率92%。所有病例均无脱钩等术后并发症,内固定锁骨钩钢板取出后无一例发生再脱位。结论AO/ASIF锁骨钩钢板是目前治疗Tossy型肩锁关节脱位的有效方法,对于急性脱位可不必修复喙锁韧带,如术后早期开展功能训练,愈合后及时取出锁骨钩钢板可获得十分满意的效果。
Objective To investigate the treatment of brachychronic acromioclavicuiar dislocations （Tossy type Ⅲ） using the clavicular hook-plate without ligamenta coracoclaviculare sutured. Methods Form Sep 2004 to Aug 2007,12 cases with Tossy type Ⅲ brachyehronic acromioclavicular dislocations were treated with AO/ASIF clavicular hook-plates,All broken ligamenta eoracoclaviculare were not been repaired but early postoperative rehabilitation had been taken. The CHPplates were removed 8 months（6～9 months）postoperatively in 12 patients. Results 12 cases were followed-up at a mean time of 3 months（2 to 5 months）after the CHPplates were removed postoperation. According to Karlsson result evaluation system,excellent rate was 75% ,effective rate was 17% ,poor rate was 8%,and excellent plus effective rate was 92%. Neither hook-dislocation complication nor acromioclavicular re-dislocation did happened postoperation. Conclusion AO/ASIF clavicular hook-plating is an effective treatment for Tossy type Ⅲ aeromioelavieular dislocations. It is unnecessary to routinely suture the ligamenta coracoclaviculare. If early postoperative rehabilitation be taken well and the CHPplates be removed after healing,the operation of using the clavicular hook-plate without ligamenta coracoclaviculare sutured would be satisfactory.
出处
《实用骨科杂志》
2009年第7期491-493,共3页
Journal of Practical Orthopaedics
关键词
肩锁关节
脱位
TossyⅢ型
锁骨钩钢板
喙锁韧带
acromioclavicular joint
dislocation
tossy Ⅲ
clavicular hook plate
ligamenta coracoelaviculare
