Are Hook Plate Complications Inevitable?

Song, Hyun Seok

doi:10.5397/cise.2018.21.2.57

Cited by 2 publications

(4 citation statements)

References 15 publications

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“…However, numerous complications reported with AO-type hook plate fixation offset the high success rate and fast rehabilitation. The most frequently reported complications reported in previous studies are subacromial impingement, impingement in motion, and subacromial bony erosion [5,13,[18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 96%

“…However, numerous complications reported with AO-type hook plate fixation offset the high success rate and fast rehabilitation. The most frequently reported complications in previous 2 of 13 studies are subacromial impingement and acromial bony erosion [5,[18][19][20][21][22]. Most authors of previous studies on hook plate fixation have recommended plates removal as soon as bony union is achieved to prevent complications such as impingement and acromial erosion [5,17,18,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Complications and Frequency of Surgical Treatment with AO-Type Hook Plate in Shoulder Trauma: A Retrospective Study

Lee

Eom

Hyun

2022

JCM

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We investigated the complications and frequency of hook plate fixation in patients with shoulder trauma. We reviewed 216 cases of hook plate fixation use at our hospital between January 2010 and May 2020. Finally, we included 76 cases of acute distal clavicle fracture (DCF) and 84 cases of acute acromioclavicular joint dislocation (ACD). We investigated all complications after hook plate use, bony union in the DCF group, and reduction loss in the ACD group. We defined painful shoulder stiffness (PSS) as aggravating resting pain with stiff shoulder, and pain on shoulder elevation (PSE) as continued shoulder pain on elevation without PSS before plate removal. PSS was managed with intra-articular steroid injections or manipulation with or without arthroscopic capsular release (ACR). PSS occurred in 36 and 33 cases of DCF and ACD, respectively. PSE occurred in 17 of 76 fractures and 13 of 84 dislocations. However, no iatrogenic rotator cuff injury was verified by magnetic resonance imaging in patients with PSS or PSE. Subacromial erosion in patients with hook plate fixation should be considered a sequela and not a complication because it is unavoidable in surgery with an AO-type hook plate. The most common complication was PSS, followed by PSE.

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“…However, numerous complications reported with AO-type hook plate fixation offset the high success rate and fast rehabilitation. The most frequently reported complications reported in previous studies are subacromial impingement, impingement in motion, and subacromial bony erosion [5,13,[18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 96%

“…However, numerous complications reported with AO-type hook plate fixation offset the high success rate and fast rehabilitation. The most frequently reported complications in previous 2 of 13 studies are subacromial impingement and acromial bony erosion [5,[18][19][20][21][22]. Most authors of previous studies on hook plate fixation have recommended plates removal as soon as bony union is achieved to prevent complications such as impingement and acromial erosion [5,17,18,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Complications and Frequency of Surgical Treatment with AO-Type Hook Plate in Shoulder Trauma: A Retrospective Study

Lee

Eom

Hyun

2022

JCM

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“…[19][20][21] Also, the occurrence of clavicle fracture just medial to the plate has been observed in older patients with osteoporosis. 22 Although there are several sizes of plates and depths of the hook and the portion for screw fixation of the hook plate that is placed onto the clavicle can be bent manually according to the contour of distal clavicle, it is difficult to bend the hook itself, which is expected to be placed underneath of the acromion. Therefore, it is difficult to avoid this complication.…”

Section: Discussionmentioning

confidence: 99%

“…However, erosion of the acromion undersurface has often been noted, and this problem certainly necessitates early removal of the plate within a few months after the fixation 19–21 . Also, the occurrence of clavicle fracture just medial to the plate has been observed in older patients with osteoporosis 22 . Although there are several sizes of plates and depths of the hook and the portion for screw fixation of the hook plate that is placed onto the clavicle can be bent manually according to the contour of distal clavicle, it is difficult to bend the hook itself, which is expected to be placed underneath of the acromion.…”

Section: Discussionmentioning

confidence: 99%

Relation between diameter of a lateral screw and pull‐out strength in distal clavicle fracture in plates with different geometry: A cadaveric biomechanical study

Yoon

Choi

et al. 2021

Journal Orthopaedic Research

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Plate fixation has recently gained popularity among the various surgical methods used to treat Neer type II distal clavicle fractures. The use of a low‐profile distal clavicle locking plate is logically considered a better option when there is no significant difference in the fixation strength between insertions of 3.5‐ and 2.7‐mm diameter screws. Therefore, the purpose of this biomechanical study was to investigate any differences in fixation strength among varying sizes of screws that are used to treat distal clavicle fractures. The study was performed with 20 paired shoulder girdles from 10 fresh frozen cadavers. To create a type IIA fracture of Neer classification, osteotomy was performed perpendicularly to the longitudinal axis of the clavicle at the medial end point of the conoid ligament. Two custom‐made fixtures designed to be attached to both upper and lower sides of the Instron were fabricated for the evaluation. The mean maximum pull‐out strength for fixation using 3.5‐mm diameter screws was 241.9 ± 67.8 N, whereas the mean pull‐out strength in fixation with 2.7‐mm diameter screws was 228.1 ± 63.0 N. There was no statistically significant difference between the two groups. Distal fragment fixation with distal clavicle locking plates using two 2.7‐mm diameter screws showed comparable biomechanical pull‐out strength at the time‐zero setting to fixations with a hook plate using two 3.5‐mm diameter screws. Therefore, the fixation of the distal fragment with a low‐profile plate and 2.7‐mm screws may be preferred as an alternative option if the distal fragment of the fractured clavicle is not extremely small.

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Are Hook Plate Complications Inevitable?

Abstract: No abstract available.

Cited by 2 publications

References 15 publications

Complications and Frequency of Surgical Treatment with AO-Type Hook Plate in Shoulder Trauma: A Retrospective Study

Complications and Frequency of Surgical Treatment with AO-Type Hook Plate in Shoulder Trauma: A Retrospective Study

Relation between diameter of a lateral screw and pull‐out strength in distal clavicle fracture in plates with different geometry: A cadaveric biomechanical study

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