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目的：观察锁骨钩钢板治疗肩锁关节脱位及锁骨远端骨折的临床疗效。方法：对40例锁骨远端骨折和肩锁关节脱位的患者进行切开复位，锁骨钩钢板内固定，术后早期功能锻炼。结果：所有患者定期随访，随访时间4～16个月，平均11个月。所有患者术后x线检查肩锁关节间隙正常，均骨折愈合。内固定无松动及脱出等现象。术后肩关节功能采用Lazzcano标准评定。本组40例患者中，优32例，良8例。结论：锁骨钩钢板利用杠杆原理和钢板自身的强度固定牢固，创伤小，能早期活动肩关节，是治疗锁骨远端骨折和肩锁关节脱位行之有效的方法。“,”Objective:To observe the clinical ef icacy of clavicular hook plate in treatment of shoulder lock joint dislocation and distal clavicular fracture.Methods:40 cases of distal cla-vicular fracture and acromioclavicular joint dislocation were treated with open reduction,clavicular hook plate internal fixation,and early functional exercise after operation.Results:al the pa-tients were fol owed up regularly,fol owed up for 4 ~16 months,average 11 months.Al patients with postoperative X-ray acromioclavicular joint clearance is normal,mean fracture healing. Internal fixation without loosening and dislocation phenomenon.Lazzcano evaluation of shoulder joint function after surgery.This group of 40 patients,excellent in 32 cases,good in 8 cases.Con-clusion:clavicular hook plate using the lever principle and the strength of steel plate fixation,smal trauma,early shoulder joint activity,is the treatment of distal clavicular fracture and acromio-clavicular joint dislocation of the ef ective.