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目的:对比分析应用锁骨钩钢板(CHP)与克氏针内固定术(TBF)治疗肩锁关节脱位(Tossy Ⅲ型)的临床疗效。方法:回顾性分析2011年5月至2012年6月因患有肩锁关节脱位在我院行手术治疗的86例患者临床资料,其中行克氏针固定术治疗的患者有52例,行锁骨钩钢板治疗的患者有34例,术后平均随访一年(4-27月,平均12月)。根据Karlsson标准进行肩关节功能恢复评定,观测两组术后优良率及并发症并进行统计学分析。结果:CHP组的优良率为94.11%,明显高于TBF组的优良率73.07%,并发症发生率为5.88%,明显低于TBF组的30.76%,差异有统计学意义(P<0.05)。结论:CHP与TBF相比具有优良率高、术后并发症几率小、疗效确切等优点,是治疗肩锁关节脱位(Tossy Ⅲ型)首选的治疗方法。“,”Objective: Comparative analysis of the effect of clavicular hook plate (CHP) and Kirschner wire internal fixation (TBF) for the treatment of acromioclavicular joint dislocation. Method: A retrospective analysis operation treatment, from May. 2011 to Jun. 2012 due to suffering from the acromioclavicular joint dislocated in our hospital, 52 cases the line Kischner wire internal fixation for the treatment, 34 patients with clavicular hook plate fixation, after a mean fol ow-up period of one year (4-27 months fol ow-up, for an average of 12 months). According to the criteria of Karlsson recovery of shoulder function assessment, observed excellent and good rate and complication rate of infection and made a statistical analysis. Result: In CHP group, the excellent and good rate was 94.11%, which was significantly higher than that in TBF group (39.13%), the complication rate of infection (5.88%) was significantly lower than that in TBF group (30.76%), the difference was statistical y significant (P<0.05). Conclusion: Treated with clavicular hook plate and Kirschner wire internal fixation for the treatment of dislocation of acromioclavicular joint has excellent high rate, low probability of less postoperative complications, curative effect is exact and other advantages, is the first choice of the treatment of dislocation of the acromioclavicular joint (Tossy Ⅲ) .