Merk Bradley R, Minihane Keith P, Shah Nirav A
Department of Orthopaedic Surgery, Northwestern University School of Medicine, Chicago, IL 60611, USA.
J Orthop Trauma. 2008 Sep;22(8):572-5. doi: 10.1097/BOT.0b013e3181831352.
We present a case of 39-year-old female with a scapulothoracic dissociation and acromioclavicular (AC) separation and who had fixation of the AC joint with a locking plate, coracoclavicular screw, and transarticular AC screw. The coracoclavicular and AC relationships were maintained during postoperative rehabilitation and after hardware removal. Use of a locking plate can lead to good functional outcome without the complications associated with the use of pin and wire constructs or without violating the subacromial space.
我们介绍了一例39岁女性患者，其患有肩胛胸壁分离和肩锁关节（AC）分离，采用锁定钢板、喙锁螺钉和经关节AC螺钉对AC关节进行了固定。在术后康复期间及取出内固定物后，喙锁关节和AC关节的关系得以维持。使用锁定钢板可带来良好的功能预后，且不会出现与使用克氏针和钢丝固定相关的并发症，也不会侵犯肩峰下间隙。
