CAJ | 학술논문

目的：观察锁骨钩钢板内固定治疗Tossy Ⅲ型肩锁关节脱位的临床疗效。方法从2008年1月至2012年2月采用锁骨钩钢板治疗Tossy Ⅲ型肩锁关节脱位患者37例。结果随访时间10～27个月(平均16.2个月)，无感染、钢板断裂、松动等并发症发生，术后10～12个月取除内固定，没有关节再脱位发生。按照Constant-Murley法评定肩关节功能恢复情况，优33例，良4例，优良率100%。。结论采用锁骨钩钢板治疗肩锁关节脱位具有操作方便、固定可靠、临床疗效满意等优点。
목적：관찰쇄골구강판내고정치료Tossy Ⅲ형견쇄관절탈위적림상료효。방법종2008년1월지2012년2월채용쇄골구강판치료Tossy Ⅲ형견쇄관절탈위환자37례。결과수방시간10～27개월(평균16.2개월)，무감염、강판단렬、송동등병발증발생，술후10～12개월취제내고정，몰유관절재탈위발생。안조Constant-Murley법평정견관절공능회복정황，우33례，량4례，우량솔100%。。결론채용쇄골구강판치료견쇄관절탈위구유조작방편、고정가고、림상료효만의등우점。
Objective To investigate the results of Tossy type Ⅲ acromiodavicular joint dislocations treated with clavicular hook plate. Methods 37 cases of Tossy type Ⅲacromiodavicular joint dislocations were treated with clavicular hook plates from January 2008 to February 2012. Results Al the patients were fol owed up for 10 to 27 months (average 16.2 months) . There were no complications such as infection, implant fracture or loosing occurred. Al the implants were removed after 10 to 12 months postoperatively and no redislocation occurred. Constant-Murley score showed excellent in 33 cases, good in 4 cases. The fine rate was 100%. Conclusion Treating acromiodavicular joint dislocations with clavicular hook plate has the advantages of simple performance, firm fixation and ideal clinical results.