Clinical outcomes of hook-plate fixation in the treatment of unstable distal clavicular fractures and acromioclavicular joint dislocations

Alhamam, Naif; Bella, Isam H; Uddin, Fares; Alafaleq, Munirah; Al-Afaleq, Sarah A; Alkhalifa, Fahad

doi:10.4103/1658-631x.149679

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7) Several previous studies in ther literature presented good functional results of hook plate fixation in acromioclavicular dislocation and lateral end fracture of the clavicle. 8) Our study showed good clinical results after hook plate fixation in acromioclavicular dislocation and lateral end fracture of the clavicle. Moreover, radiologic evaluation showed good results.…”

Section: Discussionsupporting

confidence: 59%

Clinical and Radiological Outcomes of Hook Plate Fixation in the Lateral End Fracture of the Clavicle and Acromioclavicular Dislocation

Min

Kim

Gwak³

2016

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Background: The purpose of this study was to identify the clinical and radiological outcomes of hook plate fixation for lateral end fracture of the clavicle and acromioclavicular dislocation. Methods: There were a total of 20 cases with lateral end fracture of the clavicle and 16 cases with acromioclavicular dislocation. All patients were evaluated for range of motion, functional score by using Constant score, and American Shoulder and Elbow Surgeons shoulder index at just before implant removal and at final follow-up. Coracoclavicular distance was measured in acromioclavicular dislocation and bony union was evaluated in the lateral end fracture of the clavicle. Results:The clinical outcomes and range of motion were increased at the final follow-up compared with just before implant removal in both the lateral end fracture of the clavicle and acromioclavicular dislocation. In acromioclavicular dislocation, all cases-except oneshowed maintenance of reduction after implant removal. Moreover, in the lateral end fracture of the clavicle, all cases-except oneshowed bony union.

show abstract

Section: Discussionsupporting

confidence: 59%

Clinical and Radiological Outcomes of Hook Plate Fixation in the Lateral End Fracture of the Clavicle and Acromioclavicular Dislocation

Min

Kim

Gwak³

2016

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

show abstract

“…findings. The average follow-up time was approximately 20 months, and the patients' Constant score after surgery was 91.3, indicating satisfactory outcomes (21). Another study by Lee et al examined 16 patients with acute type III acromioclavicular dislocation treated with open shoulder surgery using hook plates.…”

Section: Discussionmentioning

confidence: 99%

Recurrence and Pain Analysis in the Treatment Outcomes of Acromioclavicular Joint Dislocation Following Hook Plate Removal

Ashinegar,

Mousavi

2024

Jundishapur J Chronic Dis Care

View full text Add to dashboard Cite

Background: The treatment of acute dislocation of the acromioclavicular joint, specifically types III to V, involves various methods, each with its own advantages and disadvantages. Objectives: This study aims to investigate the treatment outcomes of acromioclavicular joint dislocation after hook plate removal, focusing on the recurrence of dislocation and pain in the affected area. Methods: A retrospective statistical study was conducted on 40 patients (18 - 40 years old) who presented with acromioclavicular joint dislocation and received treatment at Golestan and Imam Khomeini (RA) hospitals in Ahvaz between 2013 and 2021. Among the patients, 28 were male and 12 were female, and all were treated using the hook plate method. A follow-up was conducted on all patients after an average duration of one year. Patient data were collected through radiographic analysis and completion of relevant questionnaires to assess the specific objectives of this research. Results: None of the patients treated with the hook plate method required additional surgery due to reduction loss. All patients who underwent re-surgery had their hook plates removed after an average of six months. There were no cases of plate breakage or recurrence after the operation. However, four cases (10% of all patients) reported partial dislocation. The average duration of the hook plate procedure was estimated to be 45 minutes, with an estimated blood loss of 100 cc. Furthermore, complete immobilization after the hook plate procedure lasted between three days and one week. Conclusions: The hook plate method exhibits favorable outcomes, including lower complication rates, reduced postoperative pain, minimal blood loss, shorter treatment duration, and lower surgical costs. Therefore, it is considered a preferred and economically viable treatment option.

show abstract

“…The biggest advantage of hook plates in acute shoulder trauma (ACD and DCF) is their high success rate and rehabilitation [15,32]. The disadvantage is that patients with hook plates require a second surgery for implant removal because of uncomfortable points, which are caused by the hook plates [5,18,[24][25][26].…”

Section: Discussionmentioning

confidence: 99%

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

Lee

Eom

Hyun

2022

JCM

View full text Add to dashboard Cite

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.

show abstract

Clinical outcomes of hook-plate fixation in the treatment of unstable distal clavicular fractures and acromioclavicular joint dislocations

Cited by 3 publications

References 0 publications

Clinical and Radiological Outcomes of Hook Plate Fixation in the Lateral End Fracture of the Clavicle and Acromioclavicular Dislocation

Clinical and Radiological Outcomes of Hook Plate Fixation in the Lateral End Fracture of the Clavicle and Acromioclavicular Dislocation

Recurrence and Pain Analysis in the Treatment Outcomes of Acromioclavicular Joint Dislocation Following Hook Plate Removal

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

Contact Info

Product

Resources

About