Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation
Objective: The aim of this study was to compare the clinical and radiographic outcomes of clavicular hook plate fixation with and without coracoclavicular (CC) tape augmentation for the treatment of acute unstable AC dislocation. Methods: We treated 47 patients (31 men and 16 women; mean age: 47 yea...
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AVES Yayincilik
2019-11-01
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Series: | Acta Orthopaedica et Traumatologica Turcica |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X19303773 |
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doaj-652e95b1270f4c69a5cacb67ce719fdd2020-11-25T03:10:09ZengAVES YayincilikActa Orthopaedica et Traumatologica Turcica1017-995X2019-11-01536408413Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocationHao-Ming Chang0Chih-Kai Hong1Wei-Ren Su2Tzu-Hao Wang3Chih-Wei Chang4Ta-Wei Tai5Department of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Skeleton Materials and Bio-compatibility Core Lab, Research Center of Clinical Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanMunicipal Min-Sheng Hospital, Kaohsiung, TaiwanDepartment of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Orthopaedic Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Skeleton Materials and Bio-compatibility Core Lab, Research Center of Clinical Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Corresponding author. Department of Orthopaedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, Tainan 70428, Taiwan.Objective: The aim of this study was to compare the clinical and radiographic outcomes of clavicular hook plate fixation with and without coracoclavicular (CC) tape augmentation for the treatment of acute unstable AC dislocation. Methods: We treated 47 patients (31 men and 16 women; mean age: 47 years (range, 21–81)) with unstable acute AC dislocations (Rockwood III–V) and divided them into two groups according to the treatment modality, with hook plate fixation (hook plate group) or hook plate plus CC tape augmentation (combined group). We assessed radiologic findings, such as subacromial osteolysis and AC osteoarthritis. We also evaluated the clinical outcomes using a visual analogue scale (VAS) for pain, as well as the University of California at Los Angeles (UCLA) Shoulder Rating Scale and the American Shoulder and Elbow Surgeons (ASES) Shoulder Score. Results: We found that the combined group had less subacromial osteolysis upon radiography, although the CC distance was similar in both groups (119 ± 29.7% of contralateral side CC distance in hook plate group versus 119 ± 34.8% in the combined group, p = 0.77). Compared with the hook plate group, the combined group had a lower VAS score (4.5 ± 2.3 in hook plate group versus 2.3 ± 1.4 in the combined group, p < 0.001), better UCLA scores (19.9 ± 4.9 in hook plate group versus 27.2 ± 4.0 in the combined group, p < 0.001) as well as better ASES scores (51.9 ± 17.8 in hook plate group versus 73.8 ± 13.1 in the combined group, p < 0.001) at 3 and 6 months after surgery. Conclusion: Hook plate fixation plus CC tape augmentation may prevent subacromial osteolysis and yield better short-term functional outcomes. Level of Evidence: Level III, Therapeutic Study. Keywords: Acromioclavicular joint, Acromioclavicular dislocation, Hook plate, Coracoclavicular augmentation, Shoulderhttp://www.sciencedirect.com/science/article/pii/S1017995X19303773 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hao-Ming Chang Chih-Kai Hong Wei-Ren Su Tzu-Hao Wang Chih-Wei Chang Ta-Wei Tai |
spellingShingle |
Hao-Ming Chang Chih-Kai Hong Wei-Ren Su Tzu-Hao Wang Chih-Wei Chang Ta-Wei Tai Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation Acta Orthopaedica et Traumatologica Turcica |
author_facet |
Hao-Ming Chang Chih-Kai Hong Wei-Ren Su Tzu-Hao Wang Chih-Wei Chang Ta-Wei Tai |
author_sort |
Hao-Ming Chang |
title |
Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation |
title_short |
Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation |
title_full |
Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation |
title_fullStr |
Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation |
title_full_unstemmed |
Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation |
title_sort |
comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation |
publisher |
AVES Yayincilik |
series |
Acta Orthopaedica et Traumatologica Turcica |
issn |
1017-995X |
publishDate |
2019-11-01 |
description |
Objective: The aim of this study was to compare the clinical and radiographic outcomes of clavicular hook plate fixation with and without coracoclavicular (CC) tape augmentation for the treatment of acute unstable AC dislocation. Methods: We treated 47 patients (31 men and 16 women; mean age: 47 years (range, 21–81)) with unstable acute AC dislocations (Rockwood III–V) and divided them into two groups according to the treatment modality, with hook plate fixation (hook plate group) or hook plate plus CC tape augmentation (combined group). We assessed radiologic findings, such as subacromial osteolysis and AC osteoarthritis. We also evaluated the clinical outcomes using a visual analogue scale (VAS) for pain, as well as the University of California at Los Angeles (UCLA) Shoulder Rating Scale and the American Shoulder and Elbow Surgeons (ASES) Shoulder Score. Results: We found that the combined group had less subacromial osteolysis upon radiography, although the CC distance was similar in both groups (119 ± 29.7% of contralateral side CC distance in hook plate group versus 119 ± 34.8% in the combined group, p = 0.77). Compared with the hook plate group, the combined group had a lower VAS score (4.5 ± 2.3 in hook plate group versus 2.3 ± 1.4 in the combined group, p < 0.001), better UCLA scores (19.9 ± 4.9 in hook plate group versus 27.2 ± 4.0 in the combined group, p < 0.001) as well as better ASES scores (51.9 ± 17.8 in hook plate group versus 73.8 ± 13.1 in the combined group, p < 0.001) at 3 and 6 months after surgery. Conclusion: Hook plate fixation plus CC tape augmentation may prevent subacromial osteolysis and yield better short-term functional outcomes. Level of Evidence: Level III, Therapeutic Study. Keywords: Acromioclavicular joint, Acromioclavicular dislocation, Hook plate, Coracoclavicular augmentation, Shoulder |
url |
http://www.sciencedirect.com/science/article/pii/S1017995X19303773 |
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