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目的评价三种内固定法治疗TossiⅢ型肩锁关节脱位的临床疗效。方法回顾性分析2000年8月用手术治疗TossiⅢ型肩锁关节脱位57例,其中A组19例采用克氏关节脱位固定法;B组20例采用喙突螺钉固定法;C组18例采用肩锁钩钢板固定法。结果术后随访6-24各月,平均10月。全部以Karlsson标准评定疗效三组的优良率分别为63.1%、85.0%、94.4%。结论三种固定法各有利弊,肩锁钩钢板固定法的临床疗效优于其他固定法,是一种较好的固定法。“,” Objective to evaluate the clinicai effects of three surgical for acromiomclavicuiar dislocation .Methods Retrospective analyzed surgicaly treated Ⅲ type acromiomclavcuiar dislocation 57 .case from August 2000 to August 2004. 19 cace by Kirchner’s wires(A group).20 case by coracoacoaromial secrew (B group).18 from 6-24 months) The curtive results of al patients were the Karlsson’s evaluation The excelent results of the 3 method were 63.1%,85%,94% respectively Conclusions three methods are advantages and disadvntages.clavicula hook piate is a good intermal fixation for treatements of acromiomclavicuiar dislocation.