scholarly journals Treatment Outcomes of Anterior Sternoclavicular Joint Dislocation Using an Acromioclavicular Joint Hook Plate Versus a Locking Plate: A Retrospective Study

2021 ◽  
Author(s):  
Yanzhen Qu ◽  
Xudong Xie ◽  
Wu Zhou ◽  
Tian Xia ◽  
Faqi Cao ◽  
...  
Keyword(s):  
Blood Loss ◽  
Acromioclavicular Joint ◽  
Locking Plate ◽  
Sternoclavicular Joint ◽  
Hook Plate ◽  
Plate Versus ◽  
Joint Dislocation ◽  
Female Patients ◽  
The Mean ◽  
Better Than

Abstract Background: We aimed to compare the efficacy and functional outcomes of using an acromioclavicular joint hook plate (AJHP) versus a locking plate (LP) in the treatment of anterior sternoclavicular joint dislocation.Methods: Seventeen patients with anterior sternoclavicular joint dislocation were retrospectively analyzed from May 2014 to September 2019. Six patients were surgically treated with an AJHP, and 11 were surgically treated with an LP. Five male and one female patients composed the AJHP group, and nine male and two female patients composed the LP group. The mean age of all patients was 49.5 years.Results: Reduction and fixation were performed with AJHP or LP in all 17 patients. All patients were followed up for a mean duration of 14.4 months. There were no reported complications, wound infections, or instances of plate or screw breakage. The mean operative blood loss, operative time, and length of incision in the AJHP group were significantly better than those in the LP group. Shoulder girdle movement of the AJHP group was significantly better than that of the LP group.Conclusions: This study revealed that AJHP facilitated glenohumeral joint motion, reduced the risk of rupture of mediastinal structures, required a shorter incision, and had lesser blood loss and a shorter duration of operation compared with LP. However, some deficiencies require further improvement.

scholarly journals Treatment Outcomes of Anterior Sternoclavicular Joint Dislocation using An Acromioclavicular Joint Hook Plate Versus a Locking Plate: A Retrospective Study.

2021 ◽  
Author(s):  
Yanzhen Qu ◽  
Xudong Xie ◽  
Wu Zhou ◽  
Tian Xia ◽  
Faqi Cao ◽  
...  
Keyword(s):  
Blood Loss ◽  
Acromioclavicular Joint ◽  
Locking Plate ◽  
Sternoclavicular Joint ◽  
Hook Plate ◽  
Plate Versus ◽  
Joint Dislocation ◽  
Female Patients ◽  
The Mean ◽  
Better Than

Abstract Background: We aimed to compare the efficacy and functional outcomes of using an acromioclavicular joint hook plate (AJHP) versus a locking plate (LP) in the treatment of anterior sternoclavicular joint dislocation.Methods: Seventeen patients with anterior sternoclavicular joint dislocation were retrospectively analyzed from May 2014 to September 2019. Six patients were surgically treated with an AJHP, and 11 were surgically treated with an LP. Five male and one female patients comprised the AJHP group, and nine male and two female patients comprised the LP group. The mean age of all patients was 49.5 years.Results: Reduction and fixation were performed with AJHP or LP in all 17 patients. All patients were followed up for a mean duration of 14.4 months. There were no reported complications, wound infections, or instances of plate or screw breakage. The mean operative blood loss, operative time, and length of incision in the AJHP group were significantly better than those in the LP group. Shoulder girdle movement of the AJHP group was significantly better than that of the LP group.Conclusions: This study revealed that AJHP facilitated glenohumeral joint motion, reduced the risk of rupture of mediastinal structures, required a shorter incision, and had less blood loss and a shorter duration of operation compared with LP. However, some deficiencies require further improvement.Trial registration:

scholarly journals Treatment of Anterior Sternoclavicular Joint Dislocation with Acromioclavicular Joint Hook Plate

2019 ◽  
Author(s):  
Yan‐zhen Qu ◽  
Tian Xia ◽  
Guo‐hui Liu ◽  
Wu Zhou ◽  
Bo‐bin Mi ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Sternoclavicular Joint ◽  
Hook Plate ◽  
Joint Dislocation

scholarly journals A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

2020 ◽  
pp. 221049172097518
Author(s):  
Vineet Thomas Abraham ◽  
Chandrasekaran Marimuthu
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Plate Versus ◽  
Dash Score ◽  
Titanium Elastic Nail ◽  
Constant Murley Score ◽  
Elastic Nail ◽  
Clavicle Fractures ◽  
The Mean ◽  
Quick Dash

Purpose: Fixation of displaced midshaft clavicle is well known to decrease nonunion, malunion and shoulder disability as compared to nonoperative treatment. This study was done to compare the clinical and functional outcome of group 1 clavicle fractures treated with anatomic locking plates (ALP) versus Titanium elastic nail (TEN). Methods: We studied patients presenting with displaced midshaft clavicle fractures treated with ALP or TEN. The study period was from Jan 2013 to Dec 2016. Patients were reviewed and at each visit clinical and radiological progress of union was noted, complications if any were noted, functional assessment was done using the quick Dash score and Constant Murley score. Results: A total of 116 patients met our inclusion criteria. 62 patients were treated with TEN and 54 with ALP. Bony union was achieved at an average of 11.8 weeks in the TENS group and 12.8 weeks in the ALP group post operatively and this was found to be significant. The mean postoperative Constant Murley score in the ALP and the TEN groups were 92.8 (range 80–97), and 93.7 (82–97) respectively. The mean postoperative quick dash score in the ALP and TEN groups were 2.48(range from 0 to 6.8) and 2.1 (range 0–9.1) respectively. Conclusion: Both Anatomical locking plate and TEN are good options for the treatment of non-comminuted mid clavicular fractures as they have a similar functional outcome. TEN nail insertion has the advantage of being minimally invasive, having a faster union time and may be recommended in midshaft clavicle fractures without comminution.

scholarly journals Arthroscopic-assisted hook plate fixation for acromioclavicular joint dislocation

2012 ◽  
Vol 37 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Justus Gille ◽  
Gerhard Heinrichs ◽  
Andreas Unger ◽  
Helge Riepenhof ◽  
Jan Herzog ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Plate Fixation ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation

scholarly journals Locking plate for treating traumatic sternoclavicular joint dislocation: a case series

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Rongguang Ao ◽  
Yalong Zhu ◽  
Jianhua Zhou ◽  
Zhen Jian ◽  
Jifei Shi ◽  
...  
Keyword(s):  
Locking Plate ◽  
Case Series ◽  
Sternoclavicular Joint ◽  
Joint Dislocation

scholarly journals Treatment of Acute Acromioclavicular Joint Injuries Using AO Hook Locking Plate

2014 ◽  
Vol 17 (3) ◽  
pp. 114-119 ◽  
Author(s):  
Kyung Cheon Kim ◽  
Yoo Sun Jeon
Keyword(s):  
Los Angeles ◽  
Acromioclavicular Joint ◽  
Locking Plate ◽  
Rating Scale ◽  
Treatment Method ◽  
Unaffected Side ◽  
Joint Injuries ◽  
Coracoclavicular Distance ◽  
The Mean

BACKGROUND: To evaluate clinical and radiological outcome using AO hook locking plate in acute acromioclavicular joint injuries.METHODS: This study was based on patients with Rockwood type 3 or 5 acromioclavicular joint injuries who received surgery with AO hook locking plate from June 2008 until June 2009. Among the 22 patients, 19 of them were male and 3 were female, the mean age was 44.4 +/- 15.57 years (20-72 years) and follow-up period was 15.5 +/- 3.90 months (12-23 months). Preoperatively, postoperatively, and at the final follow-up after the plate removal, both coracoclavicular distances were measured from the anteroposterior radiograph. Also, the Shoulder Rating Scale of the University of California at Los Angeles scores (UCLA scores), the American Shoulder and Elbow Surgeons scores (ASES scores), Constant scores, and the Korean Shoulder Society scores (KSS scores) were measured at the final follow-up to evaluate the function of the shoulder joint.RESULTS: At the time of injury, the mean coracoclavicular distance of the injured side was 17.69 +/- 4.23 mm (9.57-27.82 mm) and the unaffected side was 7.55 +/- 2.20 mm (3.24-13.05 mm). The mean coracoclavicular distance measured postoperatively and at the final follow-up was 6.87 +/- 2.34 mm (4.07-14.13 mm) and 8.47 +/- 2.96 mm (4.37-17.48 mm), respectively. The mean UCLA, ASES, Constant, and KSS scores measured in the final follow-up were 33.5 +/- 1.30 (31-35), 90.8 +/- 8.36 (72-100), 78.6 +/- 8.80 (62-100), and 94.4 +/- 5.08 (84-100) each.CONCLUSIONS: From this short-term research, the surgical treatment using AO hook locking plates in acute acromioclavicular joint injuries is clinically and radiographically satisfying and considered as a useful treatment method.

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