[摘要] 目的 探讨锁骨远端切除对锁骨功能的影响。方法 自2005年-2010年，我们采用锁骨远端切除术对锁骨远端骨折、肩锁关节骨折或骨折脱位及肩锁关节炎共37例进行了手术治疗。其中锁骨远端粉碎性骨折9例，肩锁关节骨折脱位23例，肩锁关节炎5例。对以上不同病例采用不同的手术方法进行治疗，其中皆包含锁骨远端切除。结果37例皆获得了随访，随访时间平均为1年。患者的头颈部活动及肩关节活动基本或达到正常，和健侧肩关节功能对比，没有显著性差异。结论 头颈部和肩关节活动取决于锁骨的位置和稳定性，锁骨远端切除对锁骨的功能没有影响。宁夏医科大学总医院创伤骨科安维军

  [关键词] 锁骨远端切除术

 Is distal clavicle resection influence on the clavicle functions

   AN Wei-jun,FENG-yu,WANG-zheng.(Affiliated Hosp. of Ningxia Med. University.,Yinchuan 750004,China )

   [Abstract] Objective To study that the distal clavicle resection influence on the clavicle function. Method From 2005 to 2010, we used distal clavicle resection to surgical treating 37 cases of the distal clavicle fracture, fracture and dislocation of acromioclavicular and acromioclavicular arthritis. 9 cases in which distal clavicle conminuted fracture, acromioclavicular joint fracture-dislocation in 23 cases, 5 cases of acromioclavicular arthritis. Different cases of the above methods using different surgical treatment,All cases are included distal clavicle resection. Results 37 patients were obtained followed up of an average of 1 year. Activity in patients with head and neck and shoulder joint activities to achieve the basic or normal, and the contralateral shoulder function compared, no significant difference. Conclusion The head and neck and shoulder range of motion depends on the location and stability of the clavicle, distal clavicle resection did not affect the function of the clavicle.

[Key words ] distal clavicle resection