Li Nan, Li Gang, Wang Shao-shan, Ma Chun-mei
Department of Orthopaedics, Traditional Chinese Medicine Hospital of Liaocheng, Liaocheng 252000, Shandong, China.
Zhongguo Gu Shang. 2011 Mar;24(3):205-7.
To investigate clinical results of AO clavicular hook plate for the treatment of fresh Tossy type III acromioclavicular joint dislocation.
From December 2006 to December 2008, 28 patients with fresh Tossy type III acromioclavicular joint dislocation were treated with AO clavicular hook plates. There were 23 males and 5 females. The average age at surgery were 46.4 years (ranged, 22 to 68 years). The average time from suffering injuries to the operation was 3.9 days(ranged, 1 to 21 days). And the average time from the operation to plate removal was 9.4 months(ranged, 6 to 22 months).
All the patients were followed up, the duration ranged from 6 to 24 months, with an average of 15 months. There was 1 patient with traumatic arthritis, 1 patient with plate fracture. And the others had good results without fracture and re-dislocation after operation. According to Karlsson standards, 21 patients got an excellent result, 6 good and 1 poor. Eight patients had pain and restricted activities in shoulder joints before the plate removal, and all the symptoms were catabatic after removing the clavicular hook plates. After exercise, the function of the shoulder joints achieved normal level.
Clavicular hook plate used for the fresh Tossy type III acromioclavicular joint dislocation has advantages such as simple operation, little wound, less blood loss and early exercises.
探讨AO锁骨钩钢板治疗新鲜TossyⅢ型肩锁关节脱位的临床效果。
2006年12月至2008年12月，采用AO锁骨钩钢板治疗28例新鲜TossyⅢ型肩锁关节脱位患者。其中男性23例，女性5例。手术时平均年龄46.4岁（范围22至68岁）。受伤至手术的平均时间为3.9天（范围1至21天）。钢板取出的平均时间为9.4个月（范围6至22个月）。
所有患者均获随访，随访时间6至24个月，平均15个月。创伤性关节炎1例，钢板断裂1例。其余患者术后效果良好，无骨折及再脱位。按Karlsson标准，优21例，良6例，差1例。8例患者在钢板取出前存在肩关节疼痛及活动受限，取出锁骨钩钢板后所有症状均缓解。经过功能锻炼，肩关节功能达到正常水平。
AO锁骨钩钢板治疗新鲜TossyⅢ型肩锁关节脱位具有手术操作简单、创伤小、出血少及可早期功能锻炼等优点。
