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

Lee, Seung-Jin; Eom, Tae-Won; Hyun, Yoon-Suk

doi:10.3390/jcm11041026

Cited by 7 publications

(5 citation statements)

References 46 publications

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“…Shoulder pain, the most reported complaint after hook plate fixation, could be caused by almost all the complications of hook plate fixation. Furthermore, most patients could not obtain pain relief after intra‐articular steroid injection 28 . In our study, the hook plate was routinely removed 12 months after surgery; however, three patients in the CHPF group had severely aggravated night‐time or resting shoulder pain accompanied by stiffness; therefore, their plates were removed early.…”

Section: Discussionmentioning

confidence: 84%

“…Furthermore, most patients could not obtain pain relief after intra‐articular steroid injection. 28 In our study, the hook plate was routinely removed 12 months after surgery; however, three patients in the CHPF group had severely aggravated night‐time or resting shoulder pain accompanied by stiffness; therefore, their plates were removed early. While a high incidence of acromial osteolysis or erosion has been observed in many studies, 28 , 29 , 30 whether it causes shoulder pain remains unclear.…”

Section: Discussionmentioning

confidence: 84%

“…In our study, the hook plate was routinely removed 12 months after surgery; however, three patients in the CHPF group had severely aggravated night‐time or resting shoulder pain accompanied by stiffness; therefore, their plates were removed early. While a high incidence of acromial osteolysis or erosion has been observed in many studies, 28–30 whether it causes shoulder pain remains unclear. In our study, various degrees of acromial erosion were observed in all patients in the CHPF group; however, it seems to be correlated to the slight loss of reduction instead of shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

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Comparing the Efficacy of Anatomical Locked Plate Fixation with Coracoclavicular Ligament Augmentation to Hook Plate Fixation in Treating Distal Clavicle Fractures

Wang

Xue

et al. 2022

Orthopaedic Surgery

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Objective Hook plate fixation is the traditional method for treating distal clavicle fractures. However, in recent years, locked plate applications have emerged as a promising treatment method. This study aimed to compare the short‐ and mid‐term clinical efficacy of anatomical locked plate fixation with coracoclavicular ligament augmentation using anchor nails to that of hook plate fixation in treating distal clavicle fractures. Methods This was a retrospective single‐center cohort study investigating patients with distal clavicle fractures treated between January 2016 and February 2019 in Zhongnan Hospital of Wuhan University. Fifty‐nine eligible patients who underwent either anatomical locked plate fixation with coracoclavicular ligament augmentation using anchor nails (LPF&CLA group; 20 patients) or clavicle hook plate fixation (CHPF group; 39 patients) were included. The visual analog scale (VAS) and Constant–Murley shoulder scores were used to assess shoulder function. In addition, the coracoclavicular distance between the affected and unaffected shoulders (ΔCC distance) was measured to assess the reduction. Patients were followed up at 3 months, 6 months, and 1 year postoperatively. The comparisons between the two groups were made using Student's t‐test, chi‐square test, or Fisher's exact test, if appropriate. Results Preoperative VAS scores were similar in both groups. At 3‐ and 6‐month follow‐up, the VAS score was significantly higher in the CHPF group than in the LPF&CLA group. In contrast, the Constant–Murley shoulder score was significantly lower in the CHPF group than in the LPF&CLA group. When the hook plates were removed, there was no statistical difference in both VAS (0.2 ± 0.4 in LPF&CLA group vs. 0.5 ± 0.5 in CHPF group, p = 0.05) and Constant–Murley shoulder (96.1 ± 3.1 in LPF&CLA group vs. 93.8 ± 5.2 in CHPF group, p = 0.08) scores at the last follow‐up. Postoperatively, the ΔCC distance was 2.37 ± 1.93 mm in the LPF&CLA group and −1.56 ± 1.34 mm in the CHPF group. One year after surgery, ΔCC distance increased to 3.96 ± 1.17 mm in the LPF&CLA group and to −0.89 ± 1.39 mm in the CHPF group. Conclusion For distal clavicle fractures in which the coracoclavicular ligament is disrupted, anatomical locked plate fixation with coracoclavicular ligament augmentation achieved better functional recovery and less pain than hook plate fixation at the 6‐month follow‐up. However, the hook plate provided better reduction throughout the follow‐up period and shoulder pain could be relieved using removal surgery. Therefore, locked plates with coracoclavicular ligament augmentation favors post‐surgery pain relief while harvesting similar functional outcomes to hook plate fixation

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Comparing the Efficacy of Anatomical Locked Plate Fixation with Coracoclavicular Ligament Augmentation to Hook Plate Fixation in Treating Distal Clavicle Fractures

Wang

Xue

et al. 2022

Orthopaedic Surgery

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“…Another study by Lee et al examined 16 patients with acute type III acromioclavicular dislocation treated with open shoulder surgery using hook plates. The results demonstrated improved physical activity levels and minimal side effects associated with hook plate application (22).…”

Section: Discussionmentioning

confidence: 89%

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

Ashinegar,

Mousavi

2024

Jundishapur J Chronic Dis Care

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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.

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“…However, the treatment of type III injuries is still controversial, and most scholars still prefer surgical treatment. Currently, there are dozens of methods that can be used to treat AC dislocation, but none is considered the gold standard of treatment [4][5][6][7][8][9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

Single-loop and "Y"-shaped Double-loop Tightrope fixation for fresh Rockwood III-V acromioclavicular joint dislocation: an observational study lasting at least 3 years (3-6 years)

Shen

zhang

sun

et al. 2022

Preprint

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Backgrounds To compare the reduction effect of single loop and double loop in the treatment of acute acromioclavicular dislocation, postoperative complications and the effect of shoulder function recovery, so as to determine the best fixation method for acromioclavicular. Methods Patients with acute acromioclavicular dislocation treated with TightRope fixation in our hospital from January 2014 to May 2019 were reviewed. According to the different fixation methods, it can be divided into single loop group and double loop group. The difference and difference ratio of coracoclavicular spacing between the affected side and the healthy side at the 1st day, 3rd week, 6th week, 3rd month, 6th month, 1st year, 2nd year and the last follow-up were compared between the two groups, as well as the postoperative visual analog scale pain score (VAS), American Shoulder and Elbow Surgeon score(ASES) and constant-Murley score. Results On the 1st postoperative day, there was no significant difference in the reduction effect between the single loop group and the double loop group (P = 0.90,P = 0.93). 3 weeks after surgery, although the overall difference and difference rate of CCD between the two groups were different (P = 0.00,P = 0.00), there was no significant difference between type ⅲ and type ⅳ in terms of injury type (Type ⅲ P = 0.13,P = 0.16; Type ⅳ p = 0.22, p = 0.20;). Since 6 weeks after surgery, there were significant statistical differences in CCD difference rate between single loop group and double loop group. Conclusions Both single loop and double loop Tightrope can achieve satisfactory results in the treatment of fresh Rockwood ⅲ - ⅴ acromioclavicular dislocation. The single-loop group has the risk of postoperative reduction and loss.

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

Cited by 7 publications

References 46 publications

Comparing the Efficacy of Anatomical Locked Plate Fixation with Coracoclavicular Ligament Augmentation to Hook Plate Fixation in Treating Distal Clavicle Fractures

Comparing the Efficacy of Anatomical Locked Plate Fixation with Coracoclavicular Ligament Augmentation to Hook Plate Fixation in Treating Distal Clavicle Fractures

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

Single-loop and "Y"-shaped Double-loop Tightrope fixation for fresh Rockwood III-V acromioclavicular joint dislocation: an observational study lasting at least 3 years (3-6 years)

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