克氏针分叉后固定与锁骨钩钢板固定治疗肩锁关节脱位疗效比较临床医学.doc

克氏针分叉后固定与锁骨钩钢板固定治疗肩锁关节脱位疗效比较临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：克氏针分叉后固定与锁骨钩钢板固定治疗肩锁关节脱位疗效比较临床医学 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：克氏针分叉后固定与锁骨钩钢板固定治疗肩锁关节脱位疗效比较 7 1　　 资料与方法 8 2　　 结果 9 3　　 讨论 10 参考文摘引言： 12 原创性声明（模板） 13 文章致谢（模板） 13 正文 克氏针分叉后固定与锁骨钩钢板固定治疗肩锁关节脱位疗效比较临床医学 文1：克氏针分叉后固定与锁骨钩钢板固定治疗肩锁关节脱位疗效比较临床医学 Abstract： Objective To compare the clinical effects of Kichner wire fixation after bifurcation and clavicular hook plates fixation on treatment of acromioclavicular joint dislocation. Methods A retrospective analysis was done to compare the outcomes and complicatio of 50 patients with acromioclavicular dislocation who had been treated since June 2002 to October 2008 with either Kichner wire fixation after bifurcation or clavicular hook plates. 21 cases of patients, 14 males and 7 females, receivd internal fixation with Kichner wire after bifurcation, including 9 left sides and 12 right sides. 29 cases of patients, 16 males and 13 females, received internal fixation with clavicular hook plates, including 12 left sides and 17 right sides. Their postoperative functional recovery was evaluated by Karlsson’s All the patients were followed up from 2 to 26 months (average duration is months). According to Karlsson’s criterion, the excellent and fine rates of the clinical outcomes of the two groups were % and %（P＞）. Average cost in hospital was (5770±750) yuan with the Kichner wire fixation after bifurcation and (12830±950) yuan with clavicular hook plates（P＜）. Average length of the incision was (±) cm in clavicular hook plates group and (±) cm in the Kichner group（P＜), The amount of bleeding in A group is(±）ml, while B group is（±）ml. Conclusion In the treatment of acromioclavicular dislocation,Kichner wire fixation after bifurcation is believed to be as good as hook plate fixation. Treatment with Kichner wire fixation after bifurcation has the advantages of lower cost, and with clavicular hook plates has the advantages of less trauma. Key