Habernek H, Weinstabl R, Schmid L, Fialka C
Trauma Department, LKH Bad Ischl, Austria.
J Trauma. 1993 Dec;35(6):893-901. doi: 10.1097/00005373-199312000-00016.
From 1987 through 1991 thirty-five patients underwent surgical repairs with Wolter's crook plates for acromioclavicular joint rupture. Sixteen of the patients had Post type IV lesions: another 19 patients had the same procedure for Tossy type III lesions. Active shoulder motion up to 90 degrees of abduction and forward flexion was allowed 48 hours postoperatively. All but one patient regained full range of motion at 8 weeks. Precise bending of the plate before insertion and an accurate drill hole for the crook in the acromion were essential to prevent impingement and also precluded ventral or cranial subluxation in the joint. Using the shoulder evaluation method proposed by Constant and Murley, after 1 year 94.28% (33 of 35) of the patients had excellent results.
从1987年至1991年，35例患者接受了使用沃尔特钩钢板进行的肩锁关节破裂手术修复。其中16例患者为Post IV型损伤，另有19例患者因Tossy III型损伤接受了相同手术。术后48小时允许主动肩部活动至外展和前屈90度。除1例患者外，所有患者在8周时均恢复了全范围活动。钢板插入前精确弯曲以及在肩峰上为弯钩准确钻孔对于防止撞击至关重要，也可避免关节腹侧或头侧半脱位。采用Constant和Murley提出的肩部评估方法，1年后94.28%（35例中的33例）患者获得了优异结果。
