Complications of Hook-Plate Fixation for Distal Clavicle Fractures

An, Su-Han; Kim, Hyung-Chun; Kim, Kwang-Yeol; Lee, Jihoon; Yoon, Seung-Hyun

doi:10.12671/jkfs.2012.25.1.38

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…The hook plates were removed 4 months after ORIF [ 16 , 17 ]. The patients performed passive forward elevation and pendulum exercises using Kenny-Howard braces from postoperative day 1 (POD 1) and then active exercise with the braces from POD 3 weeks.…”

Section: Methodsmentioning

confidence: 99%

Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation

Joo

Kwon

Kim

2021

Clin Shoulder Elbow

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Background: We aimed to assess the effect of plate hook bending in treatment of acromioclavicular (AC) dislocation by analyzing clinical and radiological results according to the angle of the plate hook (APH).Methods: This was a retrospective, observational, case-control study including 76 patients with acute AC joint dislocation that were divided into two groups according to treatment with bent or unbent plate hook. The visual analog scale (VAS), the American Shoulder and Elbow Surgeons (ASES) shoulder score, and range of motion (ROM) were evaluated as clinical outcomes. Comparative coracoclavicular distance (CCD) was measured to evaluate radiological outcomes.Results: While the VAS and ASES of the bending group at 4 months after surgery were significantly higher (P=0.021, P=0.019), the rest of those and ROM showed no significant difference. The initial CCD decreased from 183.2%±25.4% to 114.3%±18.9% at the final follow-up in the bending group and decreased from 188.2%±34.4% to 119.1%±16.7% in the non-bending group, with no statistical difference (P=0.613). The changes between the initial and post-metal removal CCD were 60.2%±11.2% and 57.3%±10.4%, respectively, with no statistical difference (P=0.241). The non-bending group showed greater subacromial osteolysis (odds ratio, 3.87). Pearson’s coefficients for the correlation between APH and VAS at 4 months after surgery and for that between APH and ASES at 4 months after surgery were 0.74 and –0.63 (P=0.027 and P=0.032), respectively.Conclusions: The APH was associated with improved postoperative pain and clinical outcomes before implant removal and with reduced complications; therefore, plate hook bending is more useful clinically during plate implantation.

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Section: Methodsmentioning

confidence: 99%

Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation

Joo

Kwon

Kim

2021

Clin Shoulder Elbow

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Surgical Treatment of Unstable Distal Clavicle Fractures: Comparison of Transacromial Pin Fixation and Hook Plate Fixation

Kim¹,

Lee²,

Jang³

2013

The Journal of the Korean Shoulder and Elbow Society

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Purpose:The purpose of this study is to compare the clinical and radiological outcomes of two surgical treatments, transacromial pin fixation and hook plate fixation, for unstable distal clavicle fractures. Materials and Methods: Twenty four patients with Neer type II distal clavicle fractures who underwent surgery with transacromial pin fixation (Group I: 12 patients) and hook plate fixation (Group II: 12 patients) were included. Reduction and union were evaluated using plain radiographs. Functional evaluation was performed according to UCLA score and Constant-Murley score at last follow-up. Results: All 24 cases showed bone union. Complete union took an average of 10 weeks for group I and 11.7 weeks for group II. Average UCLA score was 33 (group I) and 32.8 (group II). Average Constant score was 88.5 (group I) and 88.8 (group II). No significant difference for each variable was observed between the two groups. Conclusion: For the surgical treatment of Neer type II distal clavicle fractures, transacromial pin fixation and hook plate fixation are both useful methods.

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Complications of Hook-Plate Fixation for Distal Clavicle Fractures

Cited by 2 publications

References 30 publications

Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation

Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation

Surgical Treatment of Unstable Distal Clavicle Fractures: Comparison of Transacromial Pin Fixation and Hook Plate Fixation

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