CAJ | 학술논문

目的探讨不修复喙锁韧带仅用锁骨钩钢板固定治疗急性TossyⅢ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TossyⅢ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TossyⅢ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.
목적 탐토불수복훼쇄인대부용쇄골구강판고정치료급성TossyⅢ형견쇄관절탈위적효과.방법 2004년9월지2007년8월공수치12 례급성TossyⅢ형견쇄관절탈위환자,대기사용AO/ASIF쇄골구강판복위고정견쇄관절,균미수복훼쇄인대,수술후조기개전공능단련,평균수술후8개월(6～9개월)취출쇄골구강판.결과 12 례균획수방,수방시간2～5개월,평균3개월.안Karlsson료효평개표준,우75%,량17%,차8%,우량솔92%.소유병례균무탈구등술후병발증,내고정쇄골구강판취출후무일례발생재탈위.결론 AO/ASIF쇄골구강판시목전치료TossyⅢ형견쇄관절탈위적유효방법 ,대우급성탈위가불필수복훼쇄인대,여술후조기개전공능훈련,유합후급시취출쇄골구강판가획득십분만의적효과.
Objective To investigate the treatment of brachychronic acromioclavicular 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 brachychronic acromioclavicular dislocations were treated with AO/ASIF clavicular hook-plates,All broken ligamenta coracoclaviculare 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 acromioclavicular 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.