应用新型固定钢板稳定损伤肩锁关节

S Sánta, Z Záborszky, Z Varga
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引用次数: 0

摘要

在治疗肩锁关节时,对关节的暂时固定问题有不同的看法。广泛使用的方法的并发症——植入物断裂、从骨头上撕裂、游离和伤口愈合的干扰——是众所周知的。为了减少并发症的发生,作者研制了一种新型钩形钢板。该板安装于锁骨肩峰端前表面,其钩从下方固定于肩峰孔内。为了选择钻孔的最佳位置,制作了钻头导轨。叙述了手术方法,总结了该方法的优点。在2年内使用“德布勒森钢板”治疗39例损伤。35例患者术后6 ~ 24个月对照。根据处理结果,建议更广泛地使用该方法。
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[Stabilization of the injured acromioclavicular joint using a new type of fixation plate].

The opinions in the question of transitory fixation of the joint during the treatment of the acromioclavicular articulation are rather different. The complications of the widely used methods--break of the implant, its tear from the bone, the wandering and the disturbances of wound healing--are well known. To decrease the number of complications authors have developed a new type of hooked plate. The plate is fitted to the anterior surface of the acromial end of the clavicle and its hook is fixed from below in the bore hole of the acromion. To choose the optimal place of the bore hole a drill guide was prepared. The operative method is described and the advantages of the method are summarized. The "Debrecen-plate" was used during 2 years in 39 injuries. 35 patients were controlled 6-24 months after the operation. Based on the results of the treatment a wider use of the method is suggested.

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