CAJ | 학술논문

目的：探讨锁骨钩钢板配合早期功能锻炼治疗锁骨远端骨折及肩锁关节脱位的临床价值。方法：收治锁骨远端骨折及肩锁关节脱位患者88例，随机分为试验组和对照组，各40例，对照组采用克氏针张力带固定，试验组应用锁骨钩钢板配合早期功能锻炼治疗，对两组术后治疗效果和并发症发生情况进行比较。结果：试验组临床症状UCLA评分和ASAES评分、临床疗效高于对照组，并发症发生率低于对照组，差异有统计学意义(P＜0.05)。结论：锁骨钩钢板配合早期功能锻炼治疗锁骨远端骨折及肩锁关节脱位固定牢靠，操作简单，安全性高，并发症少，疗效好，值得临床推广。
목적：탐토쇄골구강판배합조기공능단련치료쇄골원단골절급견쇄관절탈위적림상개치。방법：수치쇄골원단골절급견쇄관절탈위환자88례，수궤분위시험조화대조조，각40례，대조조채용극씨침장력대고정，시험조응용쇄골구강판배합조기공능단련치료，대량조술후치료효과화병발증발생정황진행비교。결과：시험조림상증상UCLA평분화ASAES평분、림상료효고우대조조，병발증발생솔저우대조조，차이유통계학의의(P＜0.05)。결론：쇄골구강판배합조기공능단련치료쇄골원단골절급견쇄관절탈위고정뢰고，조작간단，안전성고，병발증소，료효호，치득림상추엄。
Objective:To explore the clinical value of clavicular hook plate combined with early functional exercise in the treatment of distal clavicular fracture and acromioclavicular joint dislocation.Methods:88 patients with distal clavicular fracture and acromioclavicular joint dislocation were selected.They were randomly divided into the experimental group and the control group with 40 cases in each group.The control group was treated with Kirschner wire tension band fixation,and the experimental group was treated with clavicular hook plate combined with early functional exercise.We compared the therapeutic effect and complications of the two groups.Results:In the experimental group,the clinical symptoms of UCLA score and ASAES score,clinical efficacy were higher than those of the control group;the incidence of complications was lower than the control group;the difference was statistically significant(P<0.05).Conclusion:Clavicular hook plate combined with early functional exercise was used for the treatment of distal clavicular fracture and acromioclavicular joint dislocation;the fixation was reliable;the operation was simple;the safety was high;the complication was little;the curative effect was good.It was worth the clinical promotion.