摘要
目的定义肩锁关节周围骨折脱位并探讨其合理的治疗方法。方法根据肩锁关节周围骨折脱位骨结构是否移位分为Ⅰ、Ⅱ两型，Ⅱ型根据移位程度又分为Ⅱａ、Ⅱｂ两个亚型。采用自行设计的特殊体位下闭合复位经皮克氏针内固定术治疗２１例Ⅱｂ型患者。结果２０例急性损伤疗效优良，１例陈旧性损伤疗效差。结论Ⅱｂ型应积极采用有效方法恢复肩锁关节及周围的正常解剖结构和功能；特殊体位下闭合复位经皮克氏针内固定术是一种合理、有效且操作简单的方法。
Objective To define the fractures and dislocations about acromioclavicular joint and to discuss reasonable treatment. Methods Based on if there is displacement of local bone construction, type Ⅰ and Ⅱ are classified, in which type Ⅱ is subolivided into Ⅱ a and Ⅱ b. 21 cases of type Ⅱ b fractures and dislocations about acromioclavicular joint were treated with a self designed way of closed reduction and percutaneous Kirschners wire internal fixation in the special position. Results 20 cases of acute injury had excellent or good results. One old injury had a poor result. Conclusion For type Ⅱ b fractures and dislocations about acromioclavicular joint, normal anatomical construction and function should be actively restored by using effective treatment. The closed reduction and percutaneous Kirschners wire internal fixation in the special position is a reasonable,effective and simple operation.
出处
《临床骨科杂志》
1999年第1期23-25,共3页
Journal of Clinical Orthopaedics
