摘要
目的：比较锁骨钩钢板与克氏针张力带钢丝固定Allmanni型肩锁关节疗效。方法：36例Allman Ⅲ型肩锁关节脱位临床进行内固定16例克氏针张力带钢丝固定，20例锁骨钩钢板固定，比较两组间的并发症发生率和疗效。结果：术后随访0．5～5a，按Karlsson评定标准，20例钩钢板病例中优14例，良6例，优良率100％；16例克氏针张力带病例中，优10例，良5例，差1例，优良率94％；两组优良率无明显差异（P〉0．01）。克氏针张力带组钢丝断裂2例，针尾突出皮肤2例；钩钢板组无并发症。结论：两种手术方法都能取得良好效果。但在手术并发症方面，锁骨钩钢板优于张力带固定。
Objective：To compare the therapeutic effect of hook plate and Kirschner wire tension band for Allman type Ⅲ acromio - clavicular dislocation. Methods：36 cases of the acromio - clavicular joint dislocation （ Allman type Ⅲ ） underwent two different internal fixation, including 20 cases of hook plate and 16 cases of Kirschner wire tension band. The effect and complication of two groups were compared by retrospective analysis. Results ： All 36 patients were reviewed with follow-up of 6 - 9 months. According to Karlsson evaluation criterion, among 20 cases of CHP, 14 cases were excellent,6 cases were good and none case was poor. Among 16 cases of Kirschner wirre tension band, 10 cases were excellent,5 cases were good and 1 cases was poor..There was no significant difference in two groups（P0.01 ）. Althouh there were more complications in the group of Kirschner wire tension band and none complication in the group of CHP. Conclusions ： Both of the above operation methods could achieve satisfactory results and there is no significant difference between them. But CHP was better than wire tension band in surgical complications.
出处
《解剖与临床》
2010年第3期189-191,共3页
Anatomy and Clinics
关键词
肩锁关节
脱位
骨折内固定术
锁骨钩钢板
克氏针张力带
Acromioclavicular joint
Dislocation
Fracture fixation
clavicular hook plate （CHP）
Kirschner tensi
作者简介
李徽（1966-），男，医学学士，副主任医师，研究方向：创伤骨科 通信作者：李徽，E—mail：wgwgcherry@qq．com
