肩锁关节脱位克氏针张力带钢丝与锁骨钩钢板内固定治疗临床疗效评价(1)
1.深圳市福田区人民医院骨科,广东深圳518000;2.深圳市福田区人民医院超声影像科,广东深圳518000【摘要】目的:评价肩锁关节脱位的治疗方法和临床疗效。方法:对Tossy Ⅲ型肩锁关节脱位96例患者分别行手术切开复位,分别用克氏针张力带钢丝内固定及锁骨钩钢板内固定治疗。平均随访时间1.5年,采用Karlsson评分标准评估治疗效果。结果:克氏针张力带钢丝内固定组优良率为79%,锁骨钩钢板内固定组优良率为98%,两组比较,有显著性差异(P<0.05)。结论:对肩锁关节脱位,锁骨钩钢板内固定较克氏针张力带钢丝内固定疗效为佳。
【关键词】肩锁关节脱位;治疗方法;锁骨钩钢板;克氏针张力带钢丝
【中图分类号】R687.4【文献标识码】A文章编号:1004-7484(2012)-05-0735-02
【Abstract】Objective:To evaluate method of treatment and clinical effect of Acromioclavicular joint dislocation.Methods:We treated 96 patients of Tossy Ⅲ acromioclavicular joint dislocation with open reduction (Kirschner wire tension band fixation or internal fixation with clavicular hook plate).We followed up all the patients for 1.5 years averagely and evaluated treatment effect with Karlsson standards of grading.Results:The excellent and good rate of Kirschner wire tension band fixation group is 79% and the rate of clavicular hook plate group is 98%.There’s significant difference(p<0.05) in comparison of the two groups.Conclusion:For treatment of acromioclavicular joint dislocation ......
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