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 years (range, 21e81)) with unstable acute AC dislocations (Rockwood IIIeV) 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 ¼ 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
___
1. Mazzocca AD, Arciero RA, Bicos J. Evaluation and treatment of acromioclavicular joint injuries. Am J Sports Med. 2007;35(2):316e329.2. Johansen JA, Grutter PW, McFarland EG, Petersen SA. Acromioclavicular joint injuries: indications for treatment and treatment options. J Shoulder Elbow Surg. 2011;20(2 Suppl):S70eS82.
3. Kuchenreuter G. Experiences in the nailing of dislocations of the acromioclavicular joint according to Bosworth. Chirurg. 1956;27(6):250e252.
4. Di Francesco A, Zoccali C, Colafarina O, Pizzoferrato R, Flamini S. The use of hook plate in type III and V acromio-clavicular Rockwood dislocations: clinical and radiological midterm results and MRI evaluation in 42 patients. Injury. 2012;43(2):147e152.
5. Kumar N, Sharma V. Hook plate fixation for acute acromioclavicular dislocations without coracoclavicular ligament reconstruction: a functional outcome study in military personnel. Strategies Trauma Limb Reconstr. 2015;10(2):79e85.
6. Balke M, Schneider MM, Akoto R, Bathis H, Bouillon B, Banerjee M. Acute acromioclavicular joint injuries. Changes in diagnosis and therapy over the last 10 years. Unfallchirurg. 2015;118(10):851e857.
7. Arirachakaran A, Boonard M, Piyapittayanun P, et al. Post-operative outcomes and complications of suspensory loop fixation device versus hook plate in acute unstable acromioclavicular joint dislocation: a systematic review and metaanalysis. J Orthop Traumatol. 2017;18(4):293e304.
8. Eschler A, Gradl G, Gierer P, Mittlmeier T, Beck M. Hook plate fixation for acromioclavicular joint separations restores coracoclavicular distance more accurately than PDS augmentation, however presents with a high rate of acromial osteolysis. Arch Orthop Trauma Surg. 2012;132(1):33e39.
9. Hoffler CE, Karas SG. Transacromial erosion of a locked subacromial hook plate: case report and review of literature. J Shoulder Elbow Surg. 2010;19(3): e12ee15.
10. Yoon JP, Lee BJ, Nam SJ, et al. Comparison of results between hook plate fixation and ligament reconstruction for acute unstable acromioclavicular joint dislocation. Clin Orthop Surg. 2015;7(1):97e103.
11. Charity RM, Haidar SG, Ghosh S, Tillu AB. Fixation failure of the clavicular hook plate: a report of three cases. J Orthop Surg (Hong Kong). 2006;14(3):333e335.
12. Zhu YY, Cui HY, Jiang PQ, Wang JL. Complications of treatment of acromioclavicular joint dislocation and unstable distal clavicular fracture with clavicular hook plate. Zhongguo Gu Shang. 2013;26(11):927e931.
13. Lin HY, Wong PK, Ho WP, Chuang TY, Liao YS, Wong CC. Clavicular hook plate may induce subacromial shoulder impingement and rotator cuff lesion–dynamic sonographic evaluation. J Orthop Surg Res. 2014;9(1):6.
14. Menge TJ, Boykin RE, Bushnell BD, Byram IR. Acromioclavicular osteoarthritis: a common cause of shoulder pain. South Med J. 2014;107(5):324e329.
15. Greiner S, Braunsdorf J, Perka C, Herrmann S, Scheffler S. Mid to long-term results of open acromioclavicular-joint reconstruction using polydioxansulfate cerclage augmentation. Arch Orthop Trauma Surg. 2009;129(6): 735e740.
16. Stam L, Dawson I. Complete acromioclavicular dislocations: treatment with a Dacron ligament. Injury. 1991;22(3):173e176.
17. Luis GE, Yong CK, Singh DA, Sengupta S, Choon DS. Acromioclavicular joint dislocation: a comparative biomechanical study of the palmaris-longus tendon graft reconstruction with other augmentative methods in cadaveric models. J Orthop Surg Res. 2007;2(1):22.
18. Blatter G, Meier G. Augmentation of the coraco-clavicular ligament suture. Comparison between wire cerclage, vicryl tape and PDS cord. Unfallchirurg. 1990;93(12):578e583.
19. Xu ZB, Wang J. Clavicular hook plate combined with suture anchor for the treatment of type Tossy III chronic acromioclavicular dislocation. Zhongguo Gu Shang. 2014;27(5):430e432.
20. Rolf O, Hann von Weyhern A, Ewers A, Boehm TD, Gohlke F. Acromioclavicular dislocation Rockwood III-V: results of early versus delayed surgical treatment. Arch Orthop Trauma Surg. 2008;128(10):1153e1157.
21. Bjerneld H, Hovelius L, Thorling J. Acromio-clavicular separations treated conservatively. A 5-year follow-up study. Acta Orthop Scand. 1983;54(5): 743e745.
22. Taft TN, Wilson FC, Oglesby JW. Dislocation of the acromioclavicular joint. An end-result study. J Bone Joint Surg Am. 1987;69(7):1045e1051.
23. Mouhsine E, Garofalo R, Crevoisier X, Farron A. Grade I and II acromioclavicular dislocations: results of conservative treatment. J Shoulder Elbow Surg. 2003;12(6):599e602.
24. Schlegel TF, Burks RT, Marcus RL, Dunn HK. A prospective evaluation of untreated acute grade III acromioclavicular separations. Am J Sports Med. 2001;29(6):699e703.
25. Wojtys EM, Nelson G. Conservative treatment of grade III acromioclavicular dislocations. Clin Orthop Relat Res. 1991;268(1):112e119.
26. Ryhanen J, Niemela E, Kaarela O, Raatikainen T. Stabilization of acute, complete acromioclavicular joint dislocations with a new C hook implant. J Shoulder Elbow Surg. 2003;12(5):442e445.
27. Gstettner C, Tauber M, Hitzl W, Resch H. Rockwood type III acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg. 2008;17(2):220e225.
28. Lizaur A, Sanz-Reig J, Gonzalez-Parreno S. Long-term results of the surgical treatment of type III acromioclavicular dislocations: an update of a previous report. J Bone Joint Surg Br. 2011;93(8):1088e1092.
29. Korsten K, Gunning AC, Leenen LP. Operative or conservative treatment in patients with Rockwood type III acromioclavicular dislocation: a systematic review and update of current literature. Int Orthop. 2014;38(4):831e838.
30. Folwaczny EK, Yakisan D, Sturmer KM. The Balser plate with ligament suture. A dependable method of stabilizing the acromioclavicular joint. Unfallchirurg. 2000;103(9):731e740.
31. Cetinkaya E, Arikan Y, Beng K, Mutlu H, Yalcinkaya M, Uzumcugil O. Bosworth and modified Phemister techniques revisited. A comparison of intraarticular vs extraarticular fixation methods in the treatment of acute Rockwood type III acromioclavicular dislocations. Acta Orthop Traumatol Turc. 2017;51(6): 455e458.
32. Walz L, Salzmann GM, Fabbro T, Eichhorn S, Imhoff AB. The anatomic reconstruction of acromioclavicular joint dislocations using 2 TightRope devices: a biomechanical study. Am J Sports Med. 2008;36(12):2398e2406.
33. Graupe F, Dauer U, Eyssel M. Late results of surgical treatment of Tossy III acromioclavicular joint separation with the Balser plate. Unfallchirurg. 1995;98(8):422e426.
34. Schindler A, Schmid JP, Heyse C. Temporary fixation with the Balser hook plate in the treatment of a fresh and complete acromioclavicular joint dislocation. Results of the follow-up of 41 patients. Unfallchirurg. 1985;88(12): 533e540.
35. McConnell AJ, Yoo DJ, Zdero R, Schemitsch EH, McKee MD. Methods of operative fixation of the acromio-clavicular joint: a biomechanical comparison. J Orthop Trauma. 2007;21(4):248e253.
36. Kang S, Min Lee H, Hwa Back I. Acromion fracture after hook plate fixation for distal clavicle injury: a report of 2 cases. Clin Shoulder Elbow. 2016;19(3): 168e171.
37. Kashii M, Inui H, Yamamoto K. Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clin Orthop Relat Res. 2006;447(1):158e164.
38. Renger RJ, Roukema GR, Reurings JC, Raams PM, Font J, Verleisdonk EJ. The clavicle hook plate for Neer type II lateral clavicle fractures. J Orthop Trauma. 2009;23(8):570e574.
39. Sun S, Gan M, Sun H, Wu G, Yang H, Zhou F. Does subacromial osteolysis affect shoulder function after clavicle hook plating? Biomed Res Int. 2016;2016(1): 4085305.
40. Tan HL, Zhao JK, Qian C, Shi Y, Zhou Q. Clinical results of treatment using a clavicular hook plate versus a T-plate in neer type II distal clavicle fractures. Orthopedics. 2012;35(8):e1191ee1197.
41. Nadarajah R, Mahaluxmivala J, Amin A, Goodier DW. Clavicular hook-plate: complications of retaining the implant. Injury. 2005;36(5):681e683.
42. Muramatsu K, Shigetomi M, Matsunaga T, Murata Y, Taguchi T. Use of the AO hook-plate for treatment of unstable fractures of the distal clavicle. Arch Orthop Trauma Surg. 2007;127(3):191e194.
43. Tiren D, van Bemmel AJ, Swank DJ, van der Linden FM. Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview. J Orthop Surg Res. 2012;7(1):2.
44. Ding M, Ni J, Hu J, Song D. Rare complication of clavicular hook plate: clavicle fracture at the medial end of the plate. J Shoulder Elbow Surg. 2011;20(7): e18ee20.
45. Spencer Jr EE. Treatment of grade III acromioclavicular joint injuries: a systematic review. Clin Orthop Relat Res. 2007;455(1):38e44.
46. Leidel BA, Braunstein V, Kirchhoff C, Pilotto S, Mutschler W, Biberthaler P. Consistency of long-term outcome of acute Rockwood grade III acromioclavicular joint separations after K-wire transfixation. J Trauma. 2009;66(6):1666e1671.
47. Vrgoc G, Japjec M, Jurina P, et al. Operative treatment of acute acromioclavicular dislocations Rockwood III and V-comparative study between K-wires combined with FiberTape((R)) vs. TightRope System((R)). Injury. 2015;46(Suppl 6):S107eS112.
48. Natera-Cisneros L, Sarasquete-Reiriz J, Escola-Benet A, Rodriguez-Miralles J. Acute high-grade acromioclavicular joint injuries treatment: arthroscopic nonrigid coracoclavicular fixation provides better quality of life outcomes than hook plate ORIF. Orthop Traumatol Surg Res. 2016;102(1):31e39.
49. Horst K, Dienstknecht T, Andruszkow H, Gradl G, Kobbe P, Pape HC. Radiographic changes in the operative treatment of acute acromioclavicular joint dislocation - tight rope technique vs. K-wire fixation. Pol J Radiol. 2013;78(4): 15e20.
50. Darabos N, Vlahovic I, Gusic N, Darabos A, Bakota B, Miklic D. Is AC TightRope fixation better than Bosworth screw fixation for minimally invasive operative treatment of Rockwood III AC joint injury? Injury. 2015;46(Suppl 6):S113eS118.
51. Li X, Ma R, Bedi A, Dines DM, Altchek DW, Dines JS. Management of acromioclavicular joint injuries. J Bone Joint Surg Am. 2014;96(1):73e84.
52. Patzer T, Clauss C, Kuhne CA, et al. Arthroscopically assisted reduction of acute acromioclavicular joint separations: comparison of clinical and radiological results of single versus double TightRope technique. Unfallchirurg. 2013;116(5):442e450.
53. Stein T, Muller D, Blank M, et al. Stabilization of acute high-grade acromioclavicular joint separation: a prospective assessment of the clavicular hook plate versus the double double-button suture procedure. Am J Sports Med. 2018;46(11):2725e2734.
- ISSN: 1017-995X
- Başlangıç: 2015
- Yayıncı: Türk Ortopedi ve Travmatoloji Derneği
Sayıdaki Diğer Makaleler
Revision strategy for malunited tibial plateau fracture caused by failure of initial treatment
Jiang LİANGJUN, Zheng QİANG, Pan ZHİJUN, Hang Lİ
ABDULLAH MERTER, Mustafa Onur KARACAC, Tarık YAZAR
Association between calcium-phosphorus balance and adolescent idiopathic scoliosis: A meta-analysis
Qingling ZHU, Junwei CHEN, Changxian CHEN, Hanlong WANG, Shengping YANG
Unusual localization and aggressive progression of large infantile fibrosarcoma
İsmail Burak ATALAY, Güray TOĞRAL
Double ulnar osteomy for the treatment of congenital radial head dislocation
Qiang JİE, Xiaoju LİANG, Xiaowei WANG, Yongtao WU, Ge WU, Bing WANG
Tuna PEHLİVANOĞLU, HALİL İBRAHİM BALCI, Mehmet DEMİREL, Mehmet Fevzi CAKMAK, Önder YAZICIOĞLU, ÖNDER İSMET KILIÇOĞLU
The effects of cryopreserved human amniotic membrane on fracture healing: Animal study
ENES SARI, MEHMET YALÇINOZAN, Barış POLAT, Hanife ÖZKAYALAR
Tunay ERDEN, Mehmet KAPICIOĞLU, Abdullah DEMİRTAŞ, Kerem BİLSEL, Fuat AKPINAR, Hacer KUDUZ
Seyyid Şerif ÜNSAL, Tuğrul YILDIRIM, Mehmet ARMANGİL
Hao-Ming CHANG, Chih-Kai HONG, Wei-Ren SU, Tzu-Hao WANG, Chih-Wei CHANG, Ta-Wei TAİ