Objective To investigate the new method of treatment with Allman classification type Ⅲ acromioclavicular joint injury by operation.Methods Through a retrospective study,we compared the curative effects of three methods in the treatment of type Ⅲ Allman acromioclavicular joint injuries in patients with a total of 63 examples.They were divided into three groups according to different kinds of operations:anchor through coracoid-clavicle fixation group with 22 cases,Kirschner wire tension band group with 21 cases,and 20 cases in clavicular hook plate group; all the cases were new dislocation,in which 38 cases were male,25 cases were female.In addition to anchor through the coracoid clavicle fixation group,all other cases were removed the implants after 12-19 months,a follow-up study was carried out to record clinical symptoms,signs and imaging findings of patients,and the results were statistically analyzed.Results The average follow-up was 19(13-31) months,according to Karlsson criteria of efficacy evaluation,the excellent rates of three kinds of operation were 95.5％,71.4％ and 85.0％ respectively,the numbers of cases with complication were 3,6 and 8 respectively.Conclusion Anchor through coracoid-clavicular fixation is a method with good effect in the treatment of acromioclavicular joint injury,it is consistent with the principles of physiology,simple and can avoid removel of internal fixation.%目的 探讨Allman分类Ⅲ型的肩锁关节损伤手术治疗新方法.方法 通过回顾性研究,对比三种方法治疗AllmanⅢ型肩锁关节损伤患者共63例的疗效.病例按手术方法不同分三组:锚钉经喙突-锁骨固定组22例,克氏针张力带组21例,锁骨钩钢板组20例;均为新鲜脱位,其中男38例,女25例.除锚钉经喙突-锁骨固定组外其它所有病例12～ 19个月后取出内植物,对所有患者的临床症状、体征和影像学表现进行随访,对结果进行统计学分析.结果 平均随访19(13 ～ 31)个月,根据Karlsson疗效标准评价,三种术式优良率分别为95.5％、71.4％、85.0％;并发症发生病例分别为3、6、8例.结论 锚钉经喙突-锁骨固定技术是治疗肩锁关节损伤的一种符合生理学原理、简便及避免行内固定物取出和效果良好的方法.
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