Objective:To explore the clinical effect of clavicular hook plate in patients with acromioclavicular joint dislocation combined with coracoid avulsion fracture. Nethod:8 cases of acromioclavicular joint dislocation combined with coracoid avulsion fracture were collected from May 2010 to October 2014. All was Tosssy Ⅲ acromioclavicular joint dislocation,treated with clavicular hook plate. 1 case was accompanied with the second metacarpal fractures. 1 case was accompanied with wrist joint dislocation. Coronoid was not fixed with indirect reduction. Complications were treated conservatively. The average time from injury to operation was 3. 7 days(3 ~ 7 days). Results:Surgical progress of all 8 patients was relatively smooth. The average operation time was 59. 5 min(47 min ~ 68 min). And all the patients were follow - up,and the average follow -up time was 9. 5 months(8 ~ 12 months). Accroding to Constant - Murley score of shoulder joint,7 cases recovered excellently,and 1 case re-covered well. The excellent and good rate of the treatment was 100% . Conclusion:The effect of clavicular hook plate in the patients of acromiocla-vicular joint dislocation combined coracoid avulsion fracture is firm. Patients have adequate reduction,rigid fixation,little adverse reaction and it deserves clinical application and popularization.%目的：观察锁骨钩钢板治疗肩锁关节脱位合并喙突撕脱骨折的临床效果。方法：收集2010年5月至2014年10月治疗的肩锁关节脱位合并喙突撕脱骨折患者8例，所有患者均为 TosssyⅢ型肩锁关节脱位，其中1例患者合并第2掌骨骨折，1例合并腕掌关节脱位，所有患者均采用锁骨钩钢板切开复位固定术，间接复位喙突、不固定，并发症采用非手术治疗，受伤至手术时间平均为3.7 d（3~7 d）。结果：8例患者手术进展均比较顺利，平均手术时间为59.5 min （47~68 min），8例患者均获得随访，平均随访9.5月（8~12月），依据肩关节 Constant - Murley 评分，优7例，良1例，优良率100%。结论：锁骨钩钢板治疗肩锁关节脱位合并喙突撕脱骨折复位良好，疗效较好，有很好的临床推广价值。
展开▼
