Outcomes of surgery for acromioclavicular joint dislocation using different angled hook plates: a prospective study

Ding, Xu; Luo, Peng; Jukun, Chen; Ji, Liefeng; Yin, Luxu; Wang, WeiKang; Zhu, Jiang

doi:10.1007/s00264-017-3611-2

Cited by 12 publications

(12 citation statements)

References 18 publications

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“…Some factors related to postoperative shoulder pain had been proposed, mainly focusing on the hook plate, such as the clavicle hook hit the shoulder, the hook tail was too long and the poor hook position, etc. It was recommended to remove the clavicular hook plate as soon as possible for early functional exercise and rehabilitation (8,13). However, there were no systematic and detailed clinical studies on the factors affecting postoperative shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

“…According to relevant literature reports (13)(14)(15)(16)(17) and the clinical experience of the research team, this study included a total of 13 potential risk factors Age, Gender, body-mass index (BMI), smoking status, alcohol consumption, Type of injury, Rockwood Classification, Site of injury, Operation time, Injury-to-surgery, DHA, DH and AHP (Table 1). Age was divided into 3 categories: less than or equal to 30 years old, more than 30 years old and less than 60 years old, more than or equal to 60 years old.…”

Section: Risk Factors For Postoperative Shoulder Painmentioning

confidence: 99%

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Risk Factors for postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate

Ding

Lou

Luo

et al. 2020

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Background: Postoperative shoulder pain was a most common complication after clavicular hook plate treatment for acromioclavicular joint dislocation. However, the researches on its risk factors were rare. The purpose of this study was to evaluate the incidences of postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate and to identify risk factors in patients with an acute acromioclavicular joint dislocation. Method: We retrospectively analyzed the prospectively collected data from 310 consecutive patients with AC joint dislocation between December 2014 and August 2019 at our institute. Patients rated the average intensity of shoulder pain using an 11-point numerical rating scale (NRS). The dependent variable was the presence of moderate-to-severe neck pain (NRS ≥4) at the last follow-up when the internal fixation will be removed. The independent variables included age, gender, body-mass index (BMI), smoking status, alcohol consumption, type of injury, Rockwood Classification, site of injury, operation time, injury-to-surgery, DHA, DH and AHP. Logistic regression analysis was performed to identify independent risk factors of moderate-to-severe shoulder pain of acromioclavicular joint dislocation treat with hook plate. Results: A total of 292 patients were included in the study and 18 cases were lost to follow-up. The follow-up rate was 94.1%. In all cases, there were 166 male cases and 126 female cases. Of these cases, the NRS < 4 group had 219 patients. Among them, there were 120 males and 99 females. 12 patients were lost to follow-up. There were 73 patients in NRS ≥ 4 group, 46 males and 27 females. 6 cases were lost to follow-up. The number of patient in NRS ≥ 4 group accounted for about 25.0% of the total cases. DH was the significant independent risk factor for postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate. DHA and AHP were also independent factors of postoperative shoulder pain, but they were all protective. Conclusions: DH was the significant independent risk factor for postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate. DHA and AHP were also independent factors of postoperative shoulder pain, but they were all protective. We should try to refer to these factors to avoid postoperative shoulder pain when performing clinical operations.

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Section: Discussionmentioning

confidence: 99%

Section: Risk Factors For Postoperative Shoulder Painmentioning

confidence: 99%

Risk Factors for postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate

Ding

Lou

Luo

et al. 2020

Preprint

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“…The truly anatomic reconstruction of the trapezoid ligament and the conoid ligament might successfully restore the stabilization of the AC joint. Rigid fixation techniques like Kirschner wires, screws and clavicular hook plates could not restore the anatomic structure of the CC and AC ligaments and were always required a secondary operation [15]. The Endobutton was first used for the reconstruction of the CC ligaments in 2007 and showed a reliable result for the treatment of AC joint dislocation [16].…”

Section: Discussionmentioning

confidence: 99%

Anchor moored positioning technique by suture anchor and Endobutton fixation for treatment of acromioclavicular joint dislocation

Ying¹,

Shen²,

Wang³

2019

Preprint

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Background Numerous surgical methods have been used for acromioclavicular joint reconstruction.In this study, we analyzed the clinical and radiographic outcomes of truly anatomic coracoclavicular ligaments reconstruction (TACCR) and truly anatomic acromioclavicular ligaments reconstruction (TAACR) using suture anchor and Endobutton fixation for treatment of acromioclavicular joint dislocation. Methods 48 patients (mean age 49 years) with severe acromioclavicular joint dislocation. The patients were classified as Rockwood type III (n=28), IV (n=3) and V (n=17). All patients were operatively treated using anchor moored positioning technique by suture anchor and Endobutton fixation. Clinical and radiographic evaluation include the visual analog scale (VAS), Constant scores (CS) and American Shoulder and Elbow Surgeons (ASES) scores and radiographic outcomes. Results The mean follow-up was 34 months. The VAS decreased from 5 preoperatively to 0 at 24 months (P < .001). The CS and ASES scores improved from 43, 44 preoperatively to 96, 97 at 24 months separately (P < .001). Meanwhile, 47 patients (97.9%) demonstrated stable anatomical fixation on final postoperative radiographs. Loss of reduction occurred in 1 patient (2.1%), but was not correlated with functional outcome. Conclusions Anchor moored positioning technique with Bi-directional fixations by suture anchor and Endobutton fixation represents a new and reliable treatment of AC joint dislocation.

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“…It can generate stable pressure to accelerate the healing of acromioclavicular and coracoclavicular ligament. [4] Nevertheless, the single use of clavicular hook plate can easily result in the occurrence of post-operative complications, such as acromioclavicular joint re-dislocation. Therefore, to explore an optimal treatment method is a clinically concerned focus.…”

Section: Introductionmentioning

confidence: 99%

Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

Sun¹,

Wang²,

Zhang³

2021

DCC

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Objective: To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect.Methods: 80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected. They were randomly divided into the control group (n = 39, treated with clavicular hook plate) and the observation group (n = 41, treated with clavicular hook plate combined with coracoclavicular ligament repair) by the random number table method. The clinical efficacy in 12 months after operation, related clinical indicators, 12-month postoperative recovery and postoperative complications were compared between the two groups.Results: The excellent and good rate was 92.68% (38/41) in 12 months after operation in the observation group, which was higher than that (76.92%, 30/39) in the control group (p < .05). There were no significant differences in the duration of surgery, intraoperative blood loss and HLOS between the observation group and the control group (p > .05). In 12 months after operation, abduction activity and forward flexion activity of the observation group were higher than those of the control group, and visual analogue score (VAS) was lower than that of the control group (p < .05). The incidence of complications in the observation group was slightly lower than that in the control group, but there was no statistically significant difference between the two groups (p > .05).Conclusions: For TOSSY type III acromioclavicular joint dislocation, clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy. It can improve shoulder joint function, alleviate shoulder pain and have fewer complications. It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.

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Outcomes of surgery for acromioclavicular joint dislocation using different angled hook plates: a prospective study

Abstract: Hook plate treatment for AC joint dislocation can achieve the desired results, but the efficacy was significantly different depending on the different angles of the hook plate. AHP should be controlled within the range of 0-40° as much as possible when making clinical decisions.

Cited by 12 publications

References 18 publications

Risk Factors for postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate

Risk Factors for postoperative shoulder pain of acromioclavicular joint dislocation treat with hook plate

Anchor moored positioning technique by suture anchor and Endobutton fixation for treatment of acromioclavicular joint dislocation

Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

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