Abstract
目的 探讨AO/ASIF锁骨钩钢板在重度肩锁关节脱位(PostⅢ-Ⅵ型)及锁骨远端骨折(NeerⅡ型)治疗中的临床效果.方法 2000年1月～2002年9月,对36例重度肩锁关节脱位和8例锁骨远端骨折,行切开复位锁骨钩钢板内固定与喙锁韧带修补术.术后采用Constant Murley法评定肩关节功能.结果术后2.5～12个月取出钢板.随访时间2～23个月,3例失访.术后无病例发生伤口感染、内固定松动或断裂,内固定取出后无病例发生脱位及骨折.内固定术后肩关节评分均值为89分(健侧的95%),其中外展活动均值为7.9(健侧的88%);内固定取出术后肩关节评分均值为92分(健侧的98%),外展活动均值为8.8(健侧的98%).结论 AO/ASIF锁骨钩钢板是治疗重度肩锁关节脱位和锁骨远端骨折(NeerⅡ型)的一种较好治疗方法。
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