Treatment of unstable dislocation of sternoclavicular joint with clavicle hook plates
- VernacularTitle:锁骨钩钢板治疗不稳定性胸锁关节脱位
- Author:
Guanghui LIU
;
Ziru ZHAO
;
Guoyu BAO
- Publication Type:Journal Article
- Keywords:
Dislocation;
Plate;
Sternoclavicular joint
- From:
Chinese Journal of Orthopaedic Trauma
2008;10(11):1028-1030
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical treatment of unstable dislocation of the sternoclavicular joint with clavicle hook plates. Methods From April 2005 to October 2007, 19 cases of unstable dislo-cation of stemoclavicular joint were treated with open reduction and internal fixation by clavicle hook plates. There were 17 cases of Grade type Ⅲ and 2 cases of Grade type Ⅱ. After open reduction and internal fixation, all patients received arthroplasty and repair of eostoclavicular and sternoclavicular ligaments. Results None had intraoperative injury to nerves and blood vessels. Follow-ups from 6 to 24 (mean, 8) months showed 16 excellent cases, 2 good cases and 1 fair case by Roekwood criteria, the good to excellent rate being 94.7%. The healing duration lasted 3 to 6 (averaging 4) weeks. No infection, sliding or loosening of internal fixation, nonunion or re-dislocation was found postoperatively. Conclusion The clavicle hook plate is an effective and advanced surgical treatment of sternoclavieular joint injuries, because its easy and mini-invasive operation can provide sturdy fixation and lead to good functional recovery.
