肩锁关节；脱位；内固定；手术_

Ⅲ型肩锁关节脱位3种手术方法疗效比较

http://www.100md.com 《创伤外科杂志》 2006年第6期

肩锁关节；脱位；内固定；手术,,肩锁关节；脱位；内固定；手术,1一般资料,2手术方法,参考文献：

     摘要：目的比较评价3种内固定方法治疗Ⅲ型肩锁关节脱位的疗效。方法回顾分析1986~2005年手术治疗Ⅲ型肩锁关节脱位42例的临床资料，其中采用克氏针内固定和喙锁韧带缝合术(Phe mister术)25例，改良Dewar术8例，Wolter锁骨钩钢板固定术9例。结果随访6个月~1年，平均8.5个月，以Karlsson标准评定，疗效优良率分别为Phe mister术组64%，改良Dewar术组100%，Wolter锁骨钩钢板固定术组88.9%。结论 3种内固定方法中，以改良Dewar术及Wolter锁骨钩钢板效果优于Phe mister术，尤以改良Dewar术效果最好。

    关键词：肩锁关节；脱位；内固定；手术

    Evaluation of clinical effects of 3 surgical treatments for complete acromioclavicular dislocation

    CHEN Qing,LI Fajun,LI Jiqing，et al.

    (Depatrment of Orthopaedics,The 477 Hospital of PLA,Xiangfan 441021，China)

    Abstract： Obective To evaluate the clinical effects of 3 surgical treatments for acromioclavicular dislocation.Methods The clinical data of 42 cases of acromioclavicular dislocation from 1986 to 2005 were analyzed retrospectively.Twentyfive cases were treated by Phemister operation,8 cases by modified Dewar's operation and 9 cases by Wolter clavicular hookplate.Results The average period of followup was 8.5 months.According to the Karlsson's evaluation,the rate of excellent results was 64% in Phe mister group,100% in modified Dewar's group ......

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