目的
总结Eyres ⅢA型喙突骨折手术治疗方法及效果。
方法
2010年8月－2014年8月，采用锁骨钩钢板固定肩关节联合喙突骨折解剖复位后2枚空心钉固定治疗4例Eyres ⅢA型喙突骨折患者。男3例，女1例；年龄36～41岁，平均39岁。致伤原因：交通事故伤3例，机器伤1例。伤后至入院时间2～12 h，平均6 h。
结果
术后患者切口均Ⅰ期愈合，无感染、皮肤坏死等术后早期并发症发生。4例均获随访12个月。术后4个月取出锁骨钩钢板，保留空心钉。术后8个月CT示骨折完全愈合。随访期间无肩关节再脱位，内固定物松动、断裂，继发骨折等发生。术后12个月根据Neer肩关节功能评分标准评分为83～87分，平均85分。
结论
对于Eyres ⅢA型喙突骨折，采用锁骨钩钢板固定肩关节联合喙突骨折解剖复位后2枚空心钉固定可行且疗效满意。
Citation：
褚楷, 陈旭, 鲁兴, 张兴林, 周智勇. EyresⅢA型喙突骨折的手术治疗. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(6): 789-791. doi: 10.7507/1002-1892.20160162
Copy
Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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Shaw MB, Mclnemey JJ, Dias JJ, et al. Acromioclavicular joint sprains：the post-injury recovery interval. Injury, 2003, 34(6): 438-442.
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Tossy JD, Mead NC, Singmond HM. Acromioclavicular separation: useful and practical classification for treatment. Clin Orthop Relat Res, 1963, 28: 111-119.
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Chaudry SN, Waseem M. Clavicular hook plate: complications of retaining the implant. Injury, 2006, 37(7): 665.
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吴晓明, 高伟, 李凡, 等. 谈谈我们对《肩锁关节脱位合并喙突骨折的手术治疗》一文的一些看法. 中华创伤骨科杂志, 2010, 12(4): 381-383.
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Kim KC, Rhee KJ, Shin HD, et al. Displaced fracture of the coracoid process associated with acromioclavicular dislocation: a two-bird-one-stone solution. J Trauma, 2009, 67(2): 403-405.
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- 1. Shaw MB, Mclnemey JJ, Dias JJ, et al. Acromioclavicular joint sprains：the post-injury recovery interval. Injury, 2003, 34(6): 438-442.
- 2. McGinis M, Deaton JR. Fracture of the scapula: a retrospective studyof 40 fractured scapulae. J Trauma, 1989, 29(11): 1488-1493.
- 3. Eyres KS, Brooks A, Stanley D. Fracture of the coracoid process. J Bone Joint Surg (Br), 1995, 77(3): 425-428.
- 4. Ruedi TP, Buckley RE, Moran CG. 骨折治疗的AO原则. 危杰, 译. 2 版. 上海: 上海科学技术出版社, 2010: 417.
- 5. Tossy JD, Mead NC, Singmond HM. Acromioclavicular separation: useful and practical classification for treatment. Clin Orthop Relat Res, 1963, 28: 111-119.
- 6. Chaudry SN, Waseem M. Clavicular hook plate: complications of retaining the implant. Injury, 2006, 37(7): 665.
- 7. 吴晓明, 高伟, 李凡, 等. 谈谈我们对《肩锁关节脱位合并喙突骨折的手术治疗》一文的一些看法. 中华创伤骨科杂志, 2010, 12(4): 381-383.
- 8. Kim KC, Rhee KJ, Shin HD, et al. Displaced fracture of the coracoid process associated with acromioclavicular dislocation: a two-bird-one-stone solution. J Trauma, 2009, 67(2): 403-405.
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