Repair of complete acromioclavicular dislocation (Tossy stage III) using Balser's hook plate combined with ligament sutures

Mlasowsky, B; Brenner, Peter J.; Düben, Walter; Heymann, H.

doi:10.1016/0020-1383(88)90031-9

Cited by 36 publications

(14 citation statements)

References 4 publications

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“…33 A 2 nd surgical procedure to remove the hook plate is recommended, as leaving the plate can cause implant failure, joint damage, osteolysis at the undersurface of the acromion, and/or subacromial impingement. 26,34,44 After removal of the plate, there is increased risk of fracture of the distal clavicle, even after low energy trauma. 35 There are now several other surgical methods of treating acute and chronic AC-joint dislocations.…”

mentioning

confidence: 99%

Surgical treatment of chronic acromioclavicular dislocations: A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate

Windhamre

Heideken

Une-Larsson

et al. 2010

Journal of Shoulder and Elbow Surgery

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mentioning

confidence: 99%

Surgical treatment of chronic acromioclavicular dislocations: A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate

Windhamre

Heideken

Une-Larsson

et al. 2010

Journal of Shoulder and Elbow Surgery

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“…다른 발생 가능 한 합병증으로 금속 고정물 파괴와 다른 장기로의 전이 등이 있으며 21) , 이러한 합병증으로 고정물을 제거하는 추가적 수술이 필요한 단점이 있다. 최근에는 여러 종 류의 금속판을 이용한 고정술이 소개되고 있으나 이러 한 금속판들은 고정 위치가 변하거나 감염의 위험이 높 은 단점이 있다 25,32) . 오구 견봉 인대의 이전으로 파열된 오구 쇄골 인대 를 대치하는 수술은 흔히 사용되고 있는 술기 중 하나 이다 38) .…”

Section: 서 론unclassified

Coracoclavicular Ligaments Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors and Coracoacromial Ligament Transfer

Shin

Roh²,

Jeong³

2008

The Journal of the Korean Shoulder and Elbow Society

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Purpose: This study examined the outcomes of reconstruction of the coracoclavicular ligaments with using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular dislocation. Material and methods: Forty patients with complete acromioclavicular dislocation were included in this study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable sutures were separately placed on the anterolateral and posteromedial portion of the base of the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to the undersurface of the distal end of the clavicle for augmentation. Results: At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37 patients achieved anatomical reduction and three patients showed complete redislocation. However, the clinical results of the patients with redislocation were satisfactory. Conclusion: Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for restoring a physiologically stable acromioclavicular joint.

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“…Somit muss bis zum Zeitpunkt der Metallentfernung die Abduktion bis auf Schulterhöhe limitiert werden. Andere Implantate wie die Balser- [3,7,11,17,23] Auch in der Literatur sind Implantatversagen bei der Plattenosteosynthese eine Seltenheit [2,3,7,8]. Dies ist u. E. einerseits auf das stabile Implantatdesign, andererseits auf die in der Regel relativ frühzeitig vorgenommene Metallentfernung zurückzuführen.…”

Section: Ergebnisseunclassified

Die Versorgung der Schultereckgelenksprengung durch die Hakenplatte nach Wolter

Hessmann¹,

Rommens²,

Ulitzka³

et al. 2001

Akt Traumatol

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Zusammenfassung. 52 in den Jahren 1987 ± 1994 durch Wolterplatte versorgte Patienten mit Schultereckgelenksprengungen Typ Tossy III konnten bei einer mittleren Follow-up-Zeit von 4,6 Jahren nachuntersucht werden. 92 % der Patienten waren subjektiv mit dem operativen Ergebnis zufrieden oder sehr zufrieden. Eine freie Schulterfunktion fand sich bei 77 % der Patienten. 10 % der Patienten wiesen bei der radiologischen Nachuntersuchung einen erneuten Klavikulahochstand auf. Die Versorgung der Schultereckgelenksprengung durch die Wolter-Platte ist somit zwar keine überlegene, jedoch eine akzeptable Behandlungsmethode. Postoperative Komplikationen hingen im Wesentlichen mit der transossären akromialen Verankerung des Implantates zusammen. Implantatversagen nach Wolter-Plattenosteosynthese ist selten. Nachteile der Operationstechnik sind die erforderliche Bewegungseinschränkung bei liegendem Implantat sowie der Zweiteingriff, der für die Metallentfernung erforderlich ist.

show abstract

Repair of complete acromioclavicular dislocation (Tossy stage III) using Balser's hook plate combined with ligament sutures

Cited by 36 publications

References 4 publications

Surgical treatment of chronic acromioclavicular dislocations: A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate

Surgical treatment of chronic acromioclavicular dislocations: A comparative study of Weaver-Dunn augmented with PDS-braid or hook plate

Coracoclavicular Ligaments Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors and Coracoacromial Ligament Transfer

Die Versorgung der Schultereckgelenksprengung durch die Hakenplatte nach Wolter

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