[Controlled clinical trials on different surgical methods for the treatment of XXXX ].

@entity1 @entity625 @entity158 @entity2720 @entity3029
OBJECTIVE: To compare clinical effects of clavicular hook plate fixation, coracoid transplantation, and clavicular hook plate fixation combined with modified dynamic muscle transfer for the treatment of the @entity3029 . METHODS: From January 2006 to November 2009, 65 @entity1 with sustained @entity3029 were treated with clavicular hook plate fixation, coracoid transplantation,and clavicular hook plate fixation combined with modified dynamic muscle transfer. All the @entity1 were divided into three groups: 22 @entity1 in group A were treated with clavicular hook plate fixation, including 17 males and 5 females, with an average age of (31.0 +/- 10.0) years; 21 @entity1 in group B were treated with coracoid transplantation, including 16 males and 5 females,with an average age of (33.0 +/- 6.4) years; 22 @entity1 in group C were treated with clavicular hook plate fixation combined with modified dynamic muscle transfer,including 18 males and 4 females, with an average age of (30.0 +/- 5.3) years. Postoperative functional recovery was evaluated by Karlsson criteria. RESULTS: All the @entity1 were followed up, and the duration ranged from half to three years (averaged 1.5 years). In group A, 8 @entity1 got half re-dislocation, 2 @entity1 got complete re-dislocation and @entity625 of @entity2720 after internal fixations removal, 1 @entity1 had clavicular hook plate broken after operation. In group B, 7 @entity1 got half re-dislocation, 1 @entity1 got complete re-dislocation,and 5 @entity1 had @entity625 of @entity2720 with acute @entity158 and limited shoulder function after internal fixations removal. In group C,2 @entity1 got half re-dislocation, no complete re-dislocation and @entity625 of @entity2720 occurred after internal fixations removal. According to Karlsson evaluation, in group A, 12 @entity1 obtained an excellent result, 8 good and 2 poor; in group B, the data were 9, 7 and 5 respectively; in group C, they were 20, 2 and 0 respectively. There were remarkable differences of therapeutic effects between the clavicular hook plate fixation combined with modified dynamic muscle transfer and that with either of the former two treatment methods (P < 0.05). CONCLUSION: Clavicular hook plate combined with modified dynamic muscle transfer is a reliable and good treatment for the @entity3029 , with advantages such as easy to handle,stable fixation and early exercise.
