scholarly journals Effectiveness of Surgical Treatment of Rockwood Type III Acromioclavicular Joint Dislocation Using Clavicle Hook Plate and Tension Band Wiring: A Comparative Study to Evaluate the Functional and Surgical Outcome

2020 ◽  
Vol 18 (1) ◽  
pp. 90-95
Author(s):  
Dinesh Kumar Shrestha ◽  
Merina Shrestha ◽  
Dipendra KC ◽  
Prateek Karki ◽  
Sabin Shrestha ◽  
...  
Keyword(s):  
Acromioclavicular Joint ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Hook Plate ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Dislocation ◽  
Type Iii ◽  
Clavicular Hook Plate ◽  
K Wires ◽  
Rockwood Type Iii

Introduction: Acromioclavicular joint dislocation Type III is still controversial for its management, despite of numerous trials and reviews. Aims: To compare and evaluate the functional and surgical outcome of Rockwood Type III acromioclavicular joint dislocation treated surgically with clavicular Hook plate and Tension Band wiring with K-wires. Methods: In a prospective hospital based interventional study comprising of total 22 patients with a mean age of 31.36 ± 7.53 years who presented with Rockwood Type III acromioclavicular joint dislocation were carried between January 2018 to December 2019. They were graded according to Rockwood et al. classification. All 22 patients underwent open reduction and internal fixation. These patients were divided into two groups according to operative procedure; of which 11 patients were treated with clavicular hook plate (CHP) and rest 11 were treated with tension band wiring with K-wires (TBW).  Descriptive comparison was tabulated during pre-operative, intra-operative and post-operative periods. The Constant-Murley Shoulder scoring system was applied for evaluating the results.  Results: The mean follow up period was 7.6 months. The clavicular hook plate  was removed at 10 months in one patient due to severe pain and limited range of motion , and removal of Tension Band wiring with K-wires were done in two patients due to wound dehiscence and Kirschner wire back out at 5 and 6 months. The mean Constant- Murley shoulder score was 82.6 (min. 70 & max. 93) in clavicular hook plate and 74.72 (min 68 & max. 84) in Tension band wiring with K-wires which found to be significantly difference in mean scoring between two groups.  Conclusion: Patients treated with Clavicular Hook Plate for Rockwood Type III acromioclavicular joint dislocation had a very good functional and surgical outcome over Tension Band wiring with K-wires.

scholarly journals Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

2021 ◽  
Vol 7 (4) ◽  
pp. 22
Author(s):  
Fulu Sun ◽  
Shunchao Wang ◽  
Fei Zhang
Keyword(s):  
Acromioclavicular Joint ◽  
Hook Plate ◽  
Control Group ◽  
Acromioclavicular Joint Dislocation ◽  
Coracoclavicular Ligament ◽  
Observation Group ◽  
Ligament Repair ◽  
Joint Dislocation ◽  
Type Iii ◽  
Clavicular Hook Plate

Objective: To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods: 80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected. They were randomly divided into the control group (n = 39, treated with clavicular hook plate) and the observation group (n = 41, treated with clavicular hook plate combined with coracoclavicular ligament repair) by the random number table method. The clinical efficacy in 12 months after operation, related clinical indicators, 12-month postoperative recovery and postoperative complications were compared between the two groups.Results: The excellent and good rate was 92.68% (38/41) in 12 months after operation in the observation group, which was higher than that (76.92%, 30/39) in the control group (p < .05). There were no significant differences in the duration of surgery, intraoperative blood loss and HLOS between the observation group and the control group (p > .05). In 12 months after operation, abduction activity and forward flexion activity of the observation group were higher than those of the control group, and visual analogue score (VAS) was lower than that of the control group (p < .05). The incidence of complications in the observation group was slightly lower than that in the control group, but there was no statistically significant difference between the two groups (p > .05).Conclusions: For TOSSY type III acromioclavicular joint dislocation, clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy. It can improve shoulder joint function, alleviate shoulder pain and have fewer complications. It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.

scholarly journals Spontaneous Healing of Acromial Stress Fracture Caused by Clavicle Hook Plate in Acromioclavicular Joint Dislocation: A Case Report

2014 ◽  
Vol 17 (1) ◽  
pp. 36-39
Author(s):  
Gang Un Kim ◽  
Seong Hwan Kim ◽  
Jae Sung Lee ◽  
Jae Yoon Kim
Keyword(s):  
Acromioclavicular Joint ◽  
Full Range ◽  
Hook Plate ◽  
Bony Union ◽  
Acromioclavicular Joint Dislocation ◽  
Joint Injury ◽  
Joint Dislocation ◽  
Acromion Fracture ◽  
Clavicular Hook Plate ◽  
Acromial Fracture

Clavicular hook plate is known to be an effective treatment on acromioclavicular (AC) joint injury, but there have been some reports of complications, like osteolysis and bony erosion of the undersurface of acromion. Fifty-five year old male underwent open reduction and hook plate insertion on Rockwood type 5 acromioclavicular joint dislocation. He complained of protrusion of posterior acromion at 1 month after the surgery, and acromial fracture was noted in simple radiographs. The hook plate was removed and any other treatment for osteosynthesis was refused by the patient. At the 18 months after the surgery, the patient had no pain and a full range of motion with no tenderness around the shoulder joint. After two years, plain radiographs revealed complete bony union of the acromion fracture.

scholarly journals Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate

2020 ◽  
Vol 5 (1) ◽  
pp. 45-52
Author(s):  
Pabin Thapa ◽  
Krishna Sapkota ◽  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
Krishna Wahegaonkar ◽  
...  
Keyword(s):  
Open Reduction ◽  
Implant Removal ◽  
Hook Plate ◽  
Ac Joint ◽  
Rockwood Classification ◽  
Joint Dislocation ◽  
Type Iii ◽  
Ac Joint Dislocation ◽  
Clavicular Hook Plate ◽  
Rockwood Type Iii

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points). Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair

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