scholarly journals The outcome of clavicular hook plate fixation for acromioclavicular dislocation associated with coracoid process fracture

2017 ◽  
Vol 9 ◽  
pp. 120
Author(s):  
Jian Li ◽  
Xuxu Chen ◽  
Hui Kang ◽  
Hongchuan Li
Keyword(s):  
Plate Fixation ◽  
Coracoid Process ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Clavicular Hook Plate

Surgery for Acromioclavicular Dislocation: Factors Affecting Functional Recovery

2017 ◽  
Vol 83 (12) ◽  
pp. 1427-1432
Author(s):  
Jun Zhang ◽  
Zhengran Ying ◽  
You Wang
Keyword(s):  
Functional Recovery ◽  
Constant Score ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Type Iii ◽  
Clavicular Hook Plate ◽  
Group A ◽  
Group B ◽  
Rockwood Type Iii ◽  
Shoulder Score

The objective of the study is to compare the clinical outcomes of two different interventions for Rockwood type III (or above) acromioclavicular dislocation and study the factors influencing postoperative functional recovery. A total of 60 patients with Rockwood type III (or above) acromioclavicular dislocation were included in the study. Patients were divided into two groups based on the surgical intervention: Clavicular Hook Plate Fixation (Group A) and EndoButton technique of Coracoclavicular Ligament Reconstruction (Group B). Constant shoulder score was employed for the assessment of functional recovery before and after the surgery. Statistical analysis was performed in terms of age, gender, obesity (body mass index), Constant shoulder score, compliance of rehabilitation guidance, and the amount of reduction loss. The Constant score was significantly improved after surgery (P < 0.05). The score was better in Group B compared with Group A in the sixth month after surgery (P < 0.05), but showed no significant difference in the fifteenth month. Compliance with rehabilitation guidance significantly affected the values of the Constant score after the surgery (P < 0.05). Clavicular Hook Plate and EndoButton technique both are effective ways to treat Rockwood type III (or above) acromioclavicular dislocation. However, EndoButton technique is more effective for early functional recovery. Patients’ compliance with rehabilitation guidance is critical for the functional recovery after surgery.

scholarly journals Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate

2019 ◽  
Vol 22 (3) ◽  
pp. 149-153
Author(s):  
Kyoung Hwan Koh ◽  
Dong Ju Shin ◽  
Seong Mun Hwang
Keyword(s):  
Acromioclavicular Joint ◽  
Plate Fixation ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Salvage Procedure ◽  
Subsequent Fracture ◽  
Ligament Augmentation ◽  
Clavicular Hook Plate ◽  
Acromial Fracture ◽  
Type V

We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.

scholarly journals Clavicular Hook Plate for Grade-III Acromioclavicular Dislocation

2014 ◽  
Vol 22 (3) ◽  
pp. 329-332 ◽  
Author(s):  
Gilbert Steinbacher ◽  
Andrea Sallent ◽  
Roberto Seijas ◽  
Juan Manuel Boffa ◽  
Wenceslao Espinosa ◽  
...  
Keyword(s):  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Clavicular Hook Plate ◽  
Grade Iii

scholarly journals Neer Type II Distal End Clavicular Fracture: Outcome with Clavicular Hook Plate Fixation

2020 ◽  
Vol 2 (2) ◽  
pp. 1-4
Author(s):  
Sagar Panthi ◽  
Rishiswor Shrestha ◽  
Sabal Krishna Gaihre ◽  
 Angelica Karki ◽  
Suyachha Chettri
Keyword(s):  
Plate Fixation ◽  
Adult Population ◽  
Hook Plate ◽  
Type Ii ◽  
Clavicular Fracture ◽  
Rare Type ◽  
Non Union ◽  
Excellent Outcome ◽  
Clavicular Hook Plate

Background: Distal end clavicular fractures are rare type of injuries seen in adult population. These fractures are unstable because of various deforming forces. Clavicular hook plate aligns the clavicle along with ligaments. The aim of this study is to observe the outcome of displaced distal end clavicular fracture managed with hook plate fixation.Methods: Twenty five patients with displaced distal end clavicular fractures (Neer type II) were evaluated retrospectively from November 2018 to September 2020. Functional outcome were assessed via Constant and Murley score at one year final follow-up.Results: 60% of patient had excellent outcome, 32% of patient had good outcome and 8% of patient had fair outcome at final follow-up. Mean Constant and Murley score was 86. Four patients developed subacromial osteolysis which resolved at final follow-up. One patient had extra-articular ossification whereas none of the patient developed non-union and AC joint arthrosis.Conclusion: Clavicular hook plate provides stable fixation of distal end clavicular fracture with few complications and is cost-effective.Keywords: Clavicular Hook Plate; Complications; Distal End Clavicular Fractures; Subacromial Osteolysis

scholarly journals Comparison of clinical efficacy between arthroscopically assisted Tight-Rope technique and clavicular hook plate fixation in treating acute high-grade acromioclavicular joint separations

2021 ◽  
Vol 29 (2) ◽  
pp. 230949902110105
Author(s):  
Si Nie ◽  
Min Lan
Keyword(s):  
Constant Score ◽  
Plate Fixation ◽  
Hook Plate ◽  
High Grade ◽  
Ac Joint ◽  
Clavicular Hook Plate ◽  
Tight Rope ◽  
Arthroscopically Assisted ◽  
Rope System

Introduction: The purpose of this study was to compare the results of arthroscopically assisted reduction of acute acromioclavicular (AC) joint separations with the Tight-Rope technique with results of clavicular hook plate fixation. Materials and Methods: The 28 patients with acute high-grade AC joint dislocation were treated with arthroscopic assisted fixation using the Tight-Rope system, the arthroscopic evaluation and treatment of glenohumeral lesions were performed before AC ligament reconstruction. Each Tight-Rope technique group patient was matched with three controls that underwent clavicular hook plate fixation, and preoperation and postoperative visual analogue scale (VAS) and functional recovery (Constant Score) of the shoulder joint was assessed,. Furthermore, the demographics and clinical characteristics were compared between the two groups. Results: All patients had clinical and radiological results available at 2 years or greater (mean: 34; range: 24–72 months), they were statistically significant improvement in the constant score and VAS score at the end of follow-up respectively ( P < 0.001). Compared with the clavicular hook plate group, Tight-Rope system group patients were incurred significant statistically lower skin incision, hospitalization time and estimated blood loss ( P < 0.001), and the constant score and VAS score at the end of follow-up was significantly higher in the Tight-Rope group ( P < 0.001). Patients who underwent clavicular hook plate had a higher incidence of fixation failure [10 cases (11.9%) versus 2 cases (7.1%)] than those of the Tight-Rope system group. Conclusions: The Tight-Rope technique is advantageous for treating these patients because it is a minimally invasive procedure with low complications and superior clinical outcomes.

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