目的：探讨锁骨钩钢板固定治疗肩锁关节脱位的临床疗效以及并发症发生情况。方法：选取本院2008年10月-2011年12月期间行锁骨钩钢板治疗的78例肩锁关节脱位患者，均行锁骨钩钢板固定治疗。分析所有患者的临床疗效、治疗后并发症情况。结果：本院对78例肩锁关节脱位患者进行为期半年至3年的调查随访工作，其中7例患者于拆除锁骨钩钢板3个月后，出现了肩锁关节脱位复发情况，程度相对较轻。并发症分析：肩峰下骨磨损、撞击、锁骨骨折、钩钢板螺钉松动、板断裂。结论：对肩锁关节脱位患者，实施锁骨钩钢板固定治疗，效果显著。但是也存在明显的并发症，所以应在全面了解锁骨钩钢板的基础上，进行设计改进，以降低并发症的发生比例。

Objective:To study the effect and complications of clavicular hook plate fixation for the acromioclavicular joint dislocation clinical curative.Method:Seventy-eight patients with acromioclavicular joint dislocation in our hospital from October 2008 to December 2011 were selected,all patients were treated with clavicular hook plate fixation.The clinical efficacy and complications after treatment of the patients were analyzed.Result:Our hospital invested and followed 78 cases of the acromioclavicular joint dislocation for half a year to 3 years,including 7 cases in the demolition of clavicle hook plate after 3 months.The recurrence of the acromioclavicular joint dislocation was relatively lighter.Complications analysis:shoulder peak bone under wear,impact,collarbone broken,hook plate screw loosen,plate fracture.Conclusion:For patients with acromioclavicular joint dislocation,the effect of implementation of clavicular hook plate fixation treatment is remarkable.Yet obvious complications s

目的：探讨锁骨钢板治疗锁骨远端不稳定性骨折合并肩锁关节脱位的方法和临床效果。方法：对30例锁骨远端不稳定性骨折合并肩锁关节脱位的患者采用手术切开复位锁骨钩钢板内固定治疗。结果：所有患者均随访6个月以上，采用Karisson评分标准对效果进行评定，其中优22例，良7例，优良率为96．7％。结论：锁骨钩钢板内固定是目前治疗锁骨远端不稳定性骨折合并肩锁关节脱位的疗效确切的方法。

Objective:To observe the effects of clavicular hook plate in the treatments of unstable fracture of the distal clavicle com -bined with acromioclavicular joint dislocation patients .Methods:30 unstable fracture of the distal clavicle combined with acromioclavicular joint dislocation patients were selected and treated by clavicular hook plate .Results:All the patients were followed up for 6 months or more.The effects were evaluated by Karisson scoring criteria .22 patients were excellent, 7 cases were good.The good rate was 96.7%. Conclusion:Clavicular hook plate might be an exactly effective method for treating unstable fracture of the distal clavicle combined with acromioclavicular joint dislocation patients .It should be worth for generalization .

目的评价锁骨钩钢板治Tossy芋型肩锁关节脱位的临床疗效。方法应用锁骨钩钢板治TossyⅢ型肩锁关节脱位19例，通过6~12个月(平均9个月)随访，按Karlsson评价疗效。结果所有患者术后肩关节功能均恢复正常，内固定取出后无再脱位发生。结论锁骨钩钢板内固定治疗肩锁关节脱位手术操作简单、创伤小、固定牢固，适时取出内固定和早期的功能煅炼，对肩关节功能恢复和防止肩关节的各种并发症有积极的作用。

Objective To evaluate the ef ects of clavicular hook plate for Acromioclavicular joint separation.Methods 19 patients TossyⅢ Acromioclavicular joint separation had been cured by clavicular hook plate. The therapeutic ef ects were evaluated according to Karlsson by recheck 6~12 months after operation(9 months on the average).Results The shoulder joints functions of 19 patients completely recovered after operation.Acromioclavicular joint separation did not happen again after took the steel plate out.Conclusion The operation of clavicular hook plate for Acromioclavicular joint separation is very simple,ef ect for shoulder is lit le and internal fixation is immobility.Removing the plate at appropriate time and early function exercise is positive effect for shoulder joints functions and preventing complications of shoulder.

目的比较研究锁骨外1/3Ⅱ型骨折内固定物的临床疗效。方法采用克氏针治疗26例，锁骨钩钢板30例，并进行临床随访分析。回顾性分析比较其手术难易程度、治疗效果及并发症。结果对于粉碎性锁骨外1/3Ⅱ型骨折，应用锁骨钩钢板，术中骨折复位，操作简单，复位固定确定。应首选此内固定物。结论锁骨钩钢板是一种在治疗锁骨远端骨折上优于克氏针张力带的新方法，值得推广。

Objective To investigate the clavicle one-third clinical ofⅱ fracture with internal fixation. Methods Takes a k-wire in treatment of 26 cases of clavicle hook plate in 30 cases and clinical fol ow-up analysis. Results For comminuted one-third ⅱ distal clavicle fracture treated with clavicular hook plate, intraoperative fracture reduction, simple operation, reduction and fixation. Conclusion The fixture should be preferred."Classification code".

目的：观察锁骨钩钢板内固定治疗Tossy Ⅲ型肩锁关节脱位的临床疗效。方法从2008年1月至2012年2月采用锁骨钩钢板治疗Tossy Ⅲ型肩锁关节脱位患者37例。结果随访时间10～27个月(平均16.2个月)，无感染、钢板断裂、松动等并发症发生，术后10～12个月取除内固定，没有关节再脱位发生。按照Constant-Murley法评定肩关节功能恢复情况，优33例，良4例，优良率100%。。结论采用锁骨钩钢板治疗肩锁关节脱位具有操作方便、固定可靠、临床疗效满意等优点。

Objective To investigate the results of Tossy type Ⅲ acromiodavicular joint dislocations treated with clavicular hook plate. Methods 37 cases of Tossy type Ⅲacromiodavicular joint dislocations were treated with clavicular hook plates from January 2008 to February 2012. Results Al the patients were fol owed up for 10 to 27 months (average 16.2 months) . There were no complications such as infection, implant fracture or loosing occurred. Al the implants were removed after 10 to 12 months postoperatively and no redislocation occurred. Constant-Murley score showed excellent in 33 cases, good in 4 cases. The fine rate was 100%. Conclusion Treating acromiodavicular joint dislocations with clavicular hook plate has the advantages of simple performance, firm fixation and ideal clinical results.