应用锁骨钩钢板治疗锁骨远端骨折临床体会

摘要

Objective To evaluate the therapeutic effect and complications of clavicular hook plate in treatment of distal clavicle fracture causes. Methods A retrospective analysis of clavicular hook plate in the treatment of 39 cases of distal clavicle fracture patient data. By the United States association of shoulder and elbow surgeons (american shoulder and elbow surgeons, ASES) of shoulder joint function after operation evaluation. Results 39 patients were followed up, followed up for 9-15 months, average 11.6 months, all patients in 6 months after operation of fracture healing, subacromial bone erosion in 37 cases, 3 patients with subacromial impingement syndrome, screw loosening in 2 cases. Healing by ASES score 81-91 fractures, an average of 86.8 points; The healing after 1-6 months out of steel plate fracture, plate removed 3 months after the ASES score of 86 to 95 points, an average of 92.1 points.Conclusion Complications were higher in the distal clavicle clavicular hook plate in treatment of fracture of steel plate, but after the removal of shoulder joint function recovered well, and has the advantages of simple operation, suitable for primary hospital use.%目的：探讨采用锁骨钩钢板治疗锁骨远端骨折的疗效及并发症发生原因。方法回顾分析采用锁骨钩钢板治疗39例锁骨远端骨折患者资料。采用美国肩肘外科医师协会（American shoulder and elbow surgeons,ASES）评分评价术后肩关节功能。结果39例患者均获得随访，随访时间为9～15个月，平均11.6个月，所有患者均于术后6个月内骨折愈合，出现肩峰下骨侵蚀37例，肩峰下撞击症3例，螺钉松动2例。骨折愈合时行ASES评分为81～91分，平均86.8分；骨折愈合后1～6个月取出钢板，钢板取出3个月后行ASES评分为86～95分，平均92.1分。结论锁骨钩钢板治疗锁骨远端骨折并发症较高，但钢板去除后肩关节功能恢复良好，其操作简便，适宜基层医院使用。