CAJ | 학술논문

目的：探讨锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折的疗效、并发症及注意事项。方法将锁骨钩钢板应用于治疗锁骨远端骨折27例，肩锁关节脱位15例；其中男29例，女13例，年龄21岁~67岁，平均年龄44岁，左侧23例，右侧19例。TossyⅢ型肩锁关节脱位均缝合喙锁韧带及肩锁韧带。结果42例患者均获随访，平均随访10个月，术后2周进行肩关节主动活动，12周均恢复日常生活能力。依Karisson标准，本组优36例，良4例，可2例，无差病例。6例术后并发症及时治疗，随访骨折全部愈合，无再次脱位。结论锁骨钩钢板治疗肩锁关节脱位和锁骨远端骨折，较传统的克氏针及钢丝张力带、螺丝钉固定更加坚强、恢复快，能避免并发症的发生。
목적：탐토쇄골구강판치료견쇄관절탈위급쇄골원단골절적료효、병발증급주의사항。방법장쇄골구강판응용우치료쇄골원단골절27례，견쇄관절탈위15례；기중남29례，녀13례，년령21세~67세，평균년령44세，좌측23례，우측19례。TossyⅢ형견쇄관절탈위균봉합훼쇄인대급견쇄인대。결과42례환자균획수방，평균수방10개월，술후2주진행견관절주동활동，12주균회복일상생활능력。의Karisson표준，본조우36례，량4례，가2례，무차병례。6례술후병발증급시치료，수방골절전부유합，무재차탈위。결론쇄골구강판치료견쇄관절탈위화쇄골원단골절，교전통적극씨침급강사장력대、라사정고정경가견강、회복쾌，능피면병발증적발생。
Objective To study the effect of clavicular hook plate in treatment of shoulder lock joint dislocation and distal clavicular fracture, complication and the matters needing attention. Methods The application of clavicular hook plate in treatment of distal clavicle fracture in 27 cases,15 patients with acromioclavicular joint dislocation,42 patients were followed up,including male 29 cases, female 13 cases, age 21~67 years,average 44 years old,left in 23 cases, 19 cases of right. Tossy type Ⅲ acromioclavicular joint dislocation were suturing coracoclavicular ligament coracoclavicular ligament. Results The mean follow-up of 10 months, the shoulder joint was performed after 2 weeks of active. 12 weeks were restored the ability of daily life. The Karisson standard, the excellent 36 cases, good in 4 cases, 2 cases, no poor case. 6 cases of postoperative complications timely treatment, follow-up, all fractures healed, no re dislocation. Conclusion Clavicular hook plate in treatment of acromioclavicular joint dislocation and distal clavicular fracture, compared with traditional Kirschner wire and steel wire tension band fixation, screw fixation, stronger, faster recovery, can avoid the occurrence of complications.