The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases.
A hook-plate is a clavicular small fragment AO plate with a hook engaging below the acromion. It is primarily used to secure the ligament repair in the treatment of displaced acromioclavicular joint dislocations. We have used the hook-plate in conjunction with a Weaver-Dunn procedure to secure the repair in seven patients. In another three we used this plate to reduce and stabilize distal clavicular fractures. Satisfactory results were obtained in all patients; the deformity disappeared, full pain-free shoulder movement was regained with no motor weakness, with a mean follow-up of 11 months (6-25 months). Our patients returned early to work and sports activities (mean period of three months). The three clavicular fractures healed. One patient developed a superficial would infection, which responded to antibiotics and would dressing. None of our patients required removal of the implant. The hook-plate appears to be a useful device for acromioclavicular trauma.
Faraj
A A
AA
Orthopedic Department, Pinderfields General Hospital, Wakefield, UK. adnanfaraj@hotmail.com.uk
Ketzer
B
B
D000173:Acromioclavicular Joint / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D000328:Adult; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D004204:Joint Dislocations / Q000473:pathology / Q000601:surgery*; D008297:Male; D010146:Pain; D016059:Range of Motion, Articular; D016896:Treatment Outcome