Clinical evaluation of treatment with hook plate in patients with acromioclavicular joint dislocation

Yıl 2023, Cilt: 9 Sayı: 5 - September 2023, 1124 - 1128, 04.09.2023

İsmail Büyükceran , Hikmet Çinka , Alparslan Yurtbay , Hüseyin Sina Coşkun , Abdurrahman Murat Yıldırım , Davut Keskin

https://doi.org/10.18621/eurj.1278637

Öz

Objectives: Treatment of acromioclavicular joint dislocations vary. In this study, we aim to examine the functional results of patients who underwent hook plate fixation due to dislocation of acromioclavicular joint.

Methods: We retrospectively observed 21 patients who had been treated with hook plate due to dislocation of acromioclavicular joint. At follow up, Constant-Murley scoring system was performed for shoulder function evaluation, while radiological results were performed by X-ray.

Results: Seventeen of these patients were male and four were female. Eleven of these patients had Rockwood type 5 joint dislocation and ten had Rockwood type 3 joint dislocation. The mean age was 36.7 ± 13.37 years (range: 19-61 years). The mean follow-up period was 27.3 ± 19.3 months (range: 10-59). Constant-Murley shoulder scoring was excellent in 18 patients (93.6) and good (82.5) in 3 patients. While one patient had wound site infection and one patient had plate broken, no one had any neurological damage. Except for the failed implants, plate removal was not performed because the patients did not have plate-related complaints. At follow-up, it was observed that the acromioclavicular joint was in the reduced position on direct radiographs.

Conclusions: We observed good clinical and functional results for the treatment of acromioclavicular joint dislocation with hook plate treatment. The hook plate method is a safe and effective method in the acute treatment of type 3-5 injuries according to the Rockwood classification.

Anahtar Kelimeler

Acromioclavicular joint, dislocation, Rockwood classification, hook plate

Kaynakça

• 1. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med 2007;35:316-29.
• 2. Phillips A, Smart C, Groom A. Acromioclavicular dislocation: conservative or surgical therapy. Clin Orthop Rel Res 1998;353:10-7.
• 3. Spencer EE Jr. Treatment of grade III acromioclavicular joint injuries: a systematic review. Clin Orthop Rel Res 2007;455:38-44.
• 4. Cote MP, Wojcik KE, Gomlinski G, Mazzocca AD. Rehabilitation of acromioclavicular joint separations: operative and nonoperative considerations. Clin Sports Med 2010;29:213-28.
• 5. Lizaur A, Sanz-Reig J, Gonzalez-Parreño S. Long-term results of the surgical treatment of type III acromioclavicular dislocations: an update of a previous report. J Bone Joint Surg Br 2011;93:1088-92.
• 6. Hootman JM. Acromioclavicular dislocation: conservative or surgical therapy. J Athl Train 2004;39:10-1.
• 7. Wu J, Liao Q, Chen G, Zhong D, Li K, Li R. [Clavicular hook plate in the treatment of dislocation of acromioclavicular joint and fracture of distal clavicle]. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2006;31:595-8. [Article in Chinese]
• 8. Reška M, Konečný J, Kašpar M, Kábela M, Cierník J. [Stabilisation of the dislocated acromioclavicular joint and lateral fractures of the clavicle using a hook plate]. Rozhl Chir 2013;92:143-50. [Artiicle in Czench]
• 9. Oh JH, Min S, Jung JW, Kim H-J, Kim JY, Chung SW, et al. Clinical and radiological results of hook plate fixation in acute acromioclavicular joint dislocations and distal clavicle fractures. Clin Shoulder Elbow 2018;21:95-100.
• 10. Baran MA, Dinçel YM, Beytemür O, Çağlar S, Adanır O, Alagöz E. [Clavicle hook plate technique and its functional results in the treatment of acromioclavicular joint dislocation]. Kafkas J Med Sci 2015;5::13-7. [Article in Turkish]
• 11. Kienast B, Thietje R, Queitsch C, Gille J, Schulz A, Meiners J. Mid-term results after operative treatment of rockwood grade III-V acromioclavicular joint dislocations with an AC-hook-plate. Eur J Med Res 2011;16:52-6.
• 12. Kashii M, Inui H, Yamamoto K. Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clin Orthop Relat Res 2006;447:158-64.
• 13. Pan X, Lv Ry, Lv Mg, Zhang Dg. TightRope vs clavicular hook plate for Rockwood III–V acromioclavicular dislocations: a meta‐analysis. Orthop Surg 2020;12:1045-52.
• 14. Tiren D, van Bemmel AJ, Swank DJ, van der Linden FM. Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview. J Orthop Surg Res 2012;7:1-8.
• 15. Charity R, Haidar S, Ghosh S, Tillu A. Fixation failure of the clavicular hook plate: a report of three cases. J Orthop Surg 2006;14:333-5.
• 16. Meda PV, Machani B, Sinopidis C, Braithwaite I, Brownson P, Frostick SP. Clavicular hook plate for lateral end fractures-a prospective study. Injury 2006;37:277-83.
• 17. Monsaert A, Steenbrugge F, Van Damme R, Claus B, De Witte E, Van Nieuwenhuyse W, et al. Repair of complete acromioclavicular separations: hook-plate versus K-wiring. In: Folia traumatologica Lovaniensia 2003. Leuven, Belgium: Folia traumatologica Lovaniensia; 2003. p. 14–7.
• 18. Nadarajah R, Mahaluxmivala J, Amin A, Goodier D. Clavicular hook-plate: complications of retaining the implant. Injury 2005;36:681-3.
• 19. Esenyel C, Ozturk K, Bulbul M, Ayanoglu S, Ceylan H. Coracoclavicular ligament repair and screw fixation in acromioclavicular dislocations. Acta Orthop Traumatol Turc 2010;44:194-8.
• 20. Mardani-Kivi M, Mirbolook A, Salariyeh M, Hashemi-Motlagh K, Saheb-Ekhtiari K. The comparison of Ethibond sutures and semitendinosus autograft in the surgical treatment of acromioclavicular dislocation. Acta Orthop Traumatol Turc 2013;47:307-10.
• 21. Chen C-H, Dong Q-R, Zhou R-K, Zhen H-Q, Jiao Y-J. Effects of hook plate on shoulder function after treatment of acromioclavicular joint dislocation. Int J Clin Exp Med 2014;7:2564-70.
• 22. McConnell AJ, Yoo DJ, Zdero R, Schemitsch EH, McKee MD. Methods of operative fixation of the acromio-clavicular joint: a biomechanical comparison. J Orthop Trauma 2007;21:248-53.