【摘要】 目的评价锁骨钩钢板治疗锁骨外侧端NeerⅡ型骨折的疗效。方法回顾性分析2002年10月—2008年4月应用锁骨钩钢板治疗锁骨外侧端NeerⅡ型骨折53例,男40例,女13例;平均年龄35.6岁,1例为开放性骨折,其余均为闭合性骨折,术后早期肩关节功能锻炼。结果平均随访时间28个月(24～96个月),53例骨折均获得愈合,平均愈合时间为3.9个月,无切口感染、坏死,无钢板外露,无骨折延迟愈合、不愈合,无内固定松动、移位等。有5例发生肩峰撞击综合征,7例发生肩峰下溶骨。根据美国UCLA肩关节评分系统,优良率94%。结论锁骨钩钢板治疗锁骨外侧端NeerⅡ型骨折固定牢靠,有利于骨折愈合,允许患者早期功能锻炼,术后肩关节功能恢复好,并发症少,是一种安全有效的治疗方法。更多还原

【Abstract】 Objective To evaluate the therapeutic effect of the clavicle hook plating in the treatment of Neer Ⅱ lateral clavicle fractures.Methods Analyze retrospectively 53 patients with Neer Ⅱ lateral clavicle fractures underwent clavicle hook plating treatment from October 2002 to April 2008.Among the patients,40 were male and 13 were female,with an average age of 35.6 years,only 1 was open fracture and all the others were close fractures.Mobilization of the shoulder joint was started immediately after surgery.Results The patients were followed up with an average of 28 months(24~96 months).The 53 fractures were all eventually healed,with an average union time of 3.9 months.No complications such as wound infection,necrosis,exposure of plate,delayed union,nonunion and migration of the implants were found.Five patients suffered from subacromial impingement and while seven patients from acromial osteolysis.The clinical outcomes were evaluated according to American UCLA shoulder joint function scoring,and the good-excellent rate was 94%.Conclusion The using of the clavicle hook plate in the treatment of Neer Ⅱ lateral clavicle fractures provides the rigid fixation,facilitates bone healing and allows the immediate mobilization.It has satisfactory shoulder function recovery and decreases the complications.It is a safe and effective technique.更多还原