Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation
Objective To evaluate the clinical efficacy of Arbeitsgemeinschaft für Osteosynthesefragen (AO) clavicular hook plate (CHP) combined with coracoacromial ligament transposition for Rockwood III‐V dislocation of AC joint, providing an alternative choice for AC joint dislocation treatment. Methods Twen...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-03-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13197 |
| _version_ | 1818995441888395264 |
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| author | Aikebaier Tuxun Ajimu Keremu Pazila Aila Maimaitiaili Abulikemu Zengru Xie Palati Ababokeli |
| author_facet | Aikebaier Tuxun Ajimu Keremu Pazila Aila Maimaitiaili Abulikemu Zengru Xie Palati Ababokeli |
| author_sort | Aikebaier Tuxun |
| collection | DOAJ |
| description | Objective To evaluate the clinical efficacy of Arbeitsgemeinschaft für Osteosynthesefragen (AO) clavicular hook plate (CHP) combined with coracoacromial ligament transposition for Rockwood III‐V dislocation of AC joint, providing an alternative choice for AC joint dislocation treatment. Methods Twenty‐five patients diagnosed with Rockwood III‐V dislocation of acromioclavicular (AC) joint, including 18 males and seven females, aged 43.5 ± 2.4 years old on average, who had undergone open reduction and AO CHP in combination with coracoacromial (CC) ligament transposition between January 2010 and December 2015, were retrospectively analyzed. Among them, 17 cases were diagnosed as type III, five cases were type IV, and three cases were type V. The surgery mainly included three main steps: bone flap incision, drilling in the clavicle, and hook plate fixation and AC joint reposition. The treatment efficacy was evaluated through clinical examinations and imaging studies for the shoulder joint, including gross observation and measuring coracoid clavicle distance (CC‐Dist) using orthophoria X‐ray before and 1 year after the surgery, and University of California (UCLA) shoulder rating scale. Results All the patients were followed up three to four times in 18 months (12–24 months) on average, and the UCLA rating results showed that there were 17 excellent cases (68%), five good cases (20%), and three fair cases (12%). The CC‐Dist values after the surgery reduced to 9.7 ± 0.7 mm, which was significantly (P < 0.05) lower compared to that before the surgery (15.8 ± 1.6 mm). Most (88%) of the cases showed almost normal joint function and good anatomical arrangement of the acromioclavicular joint, without any secondary dislocation, and for them, 12 ± 2 weeks on average were needed to regain the normal function of shoulder joint movement. Conclusion Due to the stable fixation, fewer complications, and satisfactory therapeutic effect with great clinical value, the combination of AO CHP and CC ligament transposition is expected to be used for treating Rockwood III‐V dislocation of AC joint. |
| first_indexed | 2024-12-20T21:13:54Z |
| format | Article |
| id | doaj.art-6699fa3d03b64f008b743e45174de7a3 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-20T21:13:54Z |
| publishDate | 2022-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-6699fa3d03b64f008b743e45174de7a32022-12-21T19:26:28ZengWileyOrthopaedic Surgery1757-78531757-78612022-03-0114361362010.1111/os.13197Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint DislocationAikebaier Tuxun0Ajimu Keremu1Pazila Aila2Maimaitiaili Abulikemu3Zengru Xie4Palati Ababokeli5Department of Orthopedics The First People's Hospital of Kashgar Prefecture Kashgar ChinaDepartment of Orthopedics The First People's Hospital of Kashgar Prefecture Kashgar ChinaDepartment of Orthopedics The First People's Hospital of Kashgar Prefecture Kashgar ChinaDepartment of Orthopedics The First People's Hospital of Kashgar Prefecture Kashgar ChinaDepartment of Orthopedic Center The First Affiliated Hospital of Xinjiang Medical University Urumqi ChinaDepartment of Orthopedic Center The First Affiliated Hospital of Xinjiang Medical University Urumqi ChinaObjective To evaluate the clinical efficacy of Arbeitsgemeinschaft für Osteosynthesefragen (AO) clavicular hook plate (CHP) combined with coracoacromial ligament transposition for Rockwood III‐V dislocation of AC joint, providing an alternative choice for AC joint dislocation treatment. Methods Twenty‐five patients diagnosed with Rockwood III‐V dislocation of acromioclavicular (AC) joint, including 18 males and seven females, aged 43.5 ± 2.4 years old on average, who had undergone open reduction and AO CHP in combination with coracoacromial (CC) ligament transposition between January 2010 and December 2015, were retrospectively analyzed. Among them, 17 cases were diagnosed as type III, five cases were type IV, and three cases were type V. The surgery mainly included three main steps: bone flap incision, drilling in the clavicle, and hook plate fixation and AC joint reposition. The treatment efficacy was evaluated through clinical examinations and imaging studies for the shoulder joint, including gross observation and measuring coracoid clavicle distance (CC‐Dist) using orthophoria X‐ray before and 1 year after the surgery, and University of California (UCLA) shoulder rating scale. Results All the patients were followed up three to four times in 18 months (12–24 months) on average, and the UCLA rating results showed that there were 17 excellent cases (68%), five good cases (20%), and three fair cases (12%). The CC‐Dist values after the surgery reduced to 9.7 ± 0.7 mm, which was significantly (P < 0.05) lower compared to that before the surgery (15.8 ± 1.6 mm). Most (88%) of the cases showed almost normal joint function and good anatomical arrangement of the acromioclavicular joint, without any secondary dislocation, and for them, 12 ± 2 weeks on average were needed to regain the normal function of shoulder joint movement. Conclusion Due to the stable fixation, fewer complications, and satisfactory therapeutic effect with great clinical value, the combination of AO CHP and CC ligament transposition is expected to be used for treating Rockwood III‐V dislocation of AC joint.https://doi.org/10.1111/os.13197Acromioclavicular dislocationClavicular hook plateCoracoacromial ligament transpositionCoracoclavicular ligamentReconstruction |
| spellingShingle | Aikebaier Tuxun Ajimu Keremu Pazila Aila Maimaitiaili Abulikemu Zengru Xie Palati Ababokeli Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation Orthopaedic Surgery Acromioclavicular dislocation Clavicular hook plate Coracoacromial ligament transposition Coracoclavicular ligament Reconstruction |
| title | Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation |
| title_full | Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation |
| title_fullStr | Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation |
| title_full_unstemmed | Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation |
| title_short | Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation |
| title_sort | combination of clavicular hook plate with coracoacromial ligament transposition in treatment of acromioclavicular joint dislocation |
| topic | Acromioclavicular dislocation Clavicular hook plate Coracoacromial ligament transposition Coracoclavicular ligament Reconstruction |
| url | https://doi.org/10.1111/os.13197 |
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