Acute surgical treatment of acromioclavicular dislocation type V with a hook plate: superiority to late reconstruction

Heideken, Johan von; Windhamre, Helena Boström; Une-Larsson, Viveka; Ekelund, Anders

doi:10.1016/j.jse.2012.03.003

Cited by 72 publications

(105 citation statements)

References 42 publications

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“…In this review, one function scoring system is used in six studies, and two and more scoring systems in five studies. In von heideken et al [33] study, six function scoring systems are applied for clinical evaluation. however, there is the lack of information on their validity, reliability, and correlation with the present shoulder scales.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the outcome of early and delayed surgical treatment of complete acromioclavicular joint dislocation

Song

Yan

2014

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 99%

Comparison of the outcome of early and delayed surgical treatment of complete acromioclavicular joint dislocation

Song

Yan

2014

Knee Surg Sports Traumatol Arthrosc

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“…14) ACJ fixation technique is a relatively simple surgical option with good outcome reports. 11,[14][15][16] For ACJ fixation, various types of devices are used.…”

Section: Discussionmentioning

confidence: 99%

“…9) Its use has increased since the advent of locking plate with locking screws and good results are being reported. 10,11) But there are few reports comparing the clinical outcomes of these two techniques, and there is no report comparing two techniques in Korea. The purpose of this study is to use K-wire transfixation and locking hook plate fixation technique for ACJ stabilization in acute ACJ dislocation patients and retrospectively compare the clinical and radiologic outcomes.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiologic Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Kirschner's Wire Transfixation and Locking Hook Plate Fixation

Rhee¹,

Park²,

Cho³

et al. 2014

Clinics in Shoulder and Elbow

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Background: Kirschner's wire (K-wire) transfixation and locking hook plate fixation techniques are widely used in the treatment of acute acromioclavicular joint (ACJ) dislocation. The purpose of this study was to compare the clinical and radiologic outcomes between K-wires transfixation and a locking hook plate fixation technique. Methods: Seventy-seven patients with acute ACJ dislocation managed with K-wire (56 shoulders) and locking hook plate (21 shoulders) were enrolled for this study. The mean follow-up period was 61 months. Results: At the last follow-up, the shoulder rating scale of the University of California at Los Angeles (UCLA) was higher in patients treated with locking hook plate than with K-wires (33.2 ± 2.7 vs. 31.3 ± 3.4, p=0.009). In radiologic assessments, coracoclavicular distance (CCD) (7.9 mm vs. 7.7 mm, p=0.269) and acromioclavicular distance (ACD) (3.0 mm vs. 1.9 mm, p=0.082) were not statistically different from contralateral unaffected shoulder in locking hook plate fixation group, but acromioclavicular interval (ACI) was significant difference. However, there were significant differences in ACI, CCD, and ACD in K-wire fixation group (p<0.001). Eleven complications (20%) occurred in K-wire transfixation group and 2 subacromial erosions on computed tomography scan occurred in locking hook plate fixation group. Conclusions: ACJ stabilization was achieved in acute ACJ dislocations treated with K-wires or locking hook plates. Locking hook plate can provide higher UCLA shoulder score than K-wire and maintain CCD, and ACD without ligament reconstruction. K-wire transfixation technique resulted in a higher complication rate than locking hook plate. (Clin Shoulder Elbow 2014;17(4):159-165)

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“…19,20) However, there are known disadvantages associated with this technique, including a mandatory second surgery for removal of the plate. Moreover, transarticular fixation using an HP may induce bony osteolysis, shoulder impingement, and rotator cuff damage, leading to poor functional results.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Lee¹,

Kim²,

Kook³

2017

Clinics in Shoulder and Elbow

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Background: This study was conducted to compare the clinical and radiological outcomes of the locking hook plate fixation (HP) technique and the single tight rope (TR) technique applied for acute high-grade acromioclavicular (AC) joint separations. Methods: Between 2009 and 2014, 135 consecutive patients with acute AC joint separation Rockwood types III, IV, and V were subjected to surgical reconstruction. One hundred fourteen patients (84.4%) were available for retrospective evaluation. Of them, 62 and 52 were treated using the single TR group and clavicular HP group techniques, respectively. The visual analogue scale, Constant, American Shoulder and Elbow Surgeons (ASES), and Taft scores were used for clinical assessment. Postoperative shoulder range of motion was also assessed. An anteroposterior radiograph of the coracoclavicular distance (CCD) was obtained to evaluate the radiographic signs of recurrence. Results: The TR group patients had better Constant, ASES, and Taft scores than the HP group patients. The loss of reduction in terms of the CCD did not differ between groups. Subacromial osteolysis was observed in 34.6% of the cases in the HP group. However, there were no significant differences in the clinical outcomes between the patients with and without osteolysis in the HP group. Subcoracoid osteolysis, drill tunnel widening, and metal displacement were observed in 3.2%, 22.6%, and 4.8% of the cases in the TR group, respectively. Conclusions: The single TR technique was relatively more effective at treating acute high-grade AC joint injuries than the HP fixation technique (level of evidence: therapeutic; retrospective comparative study, Level III). (Clin Shoulder Elbow 2017;20(3):153-161)

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Acute surgical treatment of acromioclavicular dislocation type V with a hook plate: superiority to late reconstruction

Cited by 72 publications

References 42 publications

Comparison of the outcome of early and delayed surgical treatment of complete acromioclavicular joint dislocation

Comparison of the outcome of early and delayed surgical treatment of complete acromioclavicular joint dislocation

Clinical and Radiologic Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Kirschner's Wire Transfixation and Locking Hook Plate Fixation

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

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