中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
6期
1-2,3
,共3页
肩锁关节脱位%陈旧性%内固定%肩锁钩板%喙突上移
肩鎖關節脫位%陳舊性%內固定%肩鎖鉤闆%喙突上移
견쇄관절탈위%진구성%내고정%견쇄구판%훼돌상이
Acromioclavicular joint dislocation%Chronic%Internal fixation%Clavicular hook plate%Coracoid transposition
目的：探讨采用肩锁钩板联合喙突上移动力修复陈旧性 TossyⅢ型型肩锁关节脱位的临床疗效。方法：对26例陈旧性TossyⅢ型肩锁关节脱位行肩锁钩板内固定联合喙突上移动力修复手术治疗，对术后X线片及肩关节功能进行疗效评价。结果：26例患者全部获得随访4～30个月，术后复查X线片示肩锁关节均完全复位。取出内固定后，无1例发生再次脱位，根据Karllson术后功能评价，A级20例，B级6例。结论：锁骨钩钢板内固定加喙突上移治疗陈旧性TossyⅢ型肩锁关节脱位，疗效确切，术后关节功能恢复良好。
目的：探討採用肩鎖鉤闆聯閤喙突上移動力脩複陳舊性 TossyⅢ型型肩鎖關節脫位的臨床療效。方法：對26例陳舊性TossyⅢ型肩鎖關節脫位行肩鎖鉤闆內固定聯閤喙突上移動力脩複手術治療，對術後X線片及肩關節功能進行療效評價。結果：26例患者全部穫得隨訪4～30箇月，術後複查X線片示肩鎖關節均完全複位。取齣內固定後，無1例髮生再次脫位，根據Karllson術後功能評價，A級20例，B級6例。結論：鎖骨鉤鋼闆內固定加喙突上移治療陳舊性TossyⅢ型肩鎖關節脫位，療效確切，術後關節功能恢複良好。
목적：탐토채용견쇄구판연합훼돌상이동력수복진구성 TossyⅢ형형견쇄관절탈위적림상료효。방법：대26례진구성TossyⅢ형견쇄관절탈위행견쇄구판내고정연합훼돌상이동력수복수술치료，대술후X선편급견관절공능진행료효평개。결과：26례환자전부획득수방4～30개월，술후복사X선편시견쇄관절균완전복위。취출내고정후，무1례발생재차탈위，근거Karllson술후공능평개，A급20례，B급6례。결론：쇄골구강판내고정가훼돌상이치료진구성TossyⅢ형견쇄관절탈위，료효학절，술후관절공능회복량호。
Objective:To evaluate the clinical efficacy of clavicular hook plate internal fixation with coracoid transposition in treating chronic acromioclavicular joint dislocation ( Tossy type III ) .Methods:26patients with chronic acromioclavicular joint dislocation ( Tossy type III) were treated with clavicular hook plate internal fixation with coracoid transposition , all cases were followed for 4-30 months. Post-operation X -ray examinations and functional outcomes were investigated .Results:Reduction of acromioclavicular joint were showed in X-ray films after operation .No re -dislocation was observed after plate removal operation .Functional assessment was carried out by the criteria delineated previously by Karllson , in which Grade A was in 20 cases, Grade B in 6 cases.Co nclusion:Clavicular hook plate internal fixation with coracoid transposition in treating chronic acromioclavicular joint dislocation ( Tossy type III ) could achieve a stable reduction of acromioclavicular joint with a good functional .
