scholarly journals Comment on “Bosworth and modified Phemister techniques revisited. A comparison of intraarticular vs extraarticular fixation methods in the treatment of acute Rockwood type III acromioclavicular dislocations”

2019 ◽  
Vol 53 (4) ◽  
pp. 318-321
Author(s):  
Olgar Birsel ◽  
Mehmet Demirhan
Keyword(s):  
Fixation Methods ◽  
Type Iii ◽  
Rockwood Type Iii

Surgery for Acromioclavicular Dislocation: Factors Affecting Functional Recovery

2017 ◽  
Vol 83 (12) ◽  
pp. 1427-1432
Author(s):  
Jun Zhang ◽  
Zhengran Ying ◽  
You Wang
Keyword(s):  
Functional Recovery ◽  
Constant Score ◽  
Hook Plate ◽  
Acromioclavicular Dislocation ◽  
Type Iii ◽  
Clavicular Hook Plate ◽  
Group A ◽  
Group B ◽  
Rockwood Type Iii ◽  
Shoulder Score

The objective of the study is to compare the clinical outcomes of two different interventions for Rockwood type III (or above) acromioclavicular dislocation and study the factors influencing postoperative functional recovery. A total of 60 patients with Rockwood type III (or above) acromioclavicular dislocation were included in the study. Patients were divided into two groups based on the surgical intervention: Clavicular Hook Plate Fixation (Group A) and EndoButton technique of Coracoclavicular Ligament Reconstruction (Group B). Constant shoulder score was employed for the assessment of functional recovery before and after the surgery. Statistical analysis was performed in terms of age, gender, obesity (body mass index), Constant shoulder score, compliance of rehabilitation guidance, and the amount of reduction loss. The Constant score was significantly improved after surgery (P < 0.05). The score was better in Group B compared with Group A in the sixth month after surgery (P < 0.05), but showed no significant difference in the fifteenth month. Compliance with rehabilitation guidance significantly affected the values of the Constant score after the surgery (P < 0.05). Clavicular Hook Plate and EndoButton technique both are effective ways to treat Rockwood type III (or above) acromioclavicular dislocation. However, EndoButton technique is more effective for early functional recovery. Patients’ compliance with rehabilitation guidance is critical for the functional recovery after surgery.

scholarly journals Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate

2020 ◽  
Vol 5 (1) ◽  
pp. 45-52
Author(s):  
Pabin Thapa ◽  
Krishna Sapkota ◽  
Niraj Ranjeet ◽  
Pratyenta Raj Onta ◽  
Krishna Wahegaonkar ◽  
...  
Keyword(s):  
Open Reduction ◽  
Implant Removal ◽  
Hook Plate ◽  
Ac Joint ◽  
Rockwood Classification ◽  
Joint Dislocation ◽  
Type Iii ◽  
Ac Joint Dislocation ◽  
Clavicular Hook Plate ◽  
Rockwood Type Iii

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points). Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair

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