Comparision of Clavicle Hook Plate and K-wire with Coracoclavicular Ligament Repair in Treatment of Acromioclavicular Joint Dislocation
Keywords:
Acromioclavicular joint dislocation, Clavicle hook-plate, K-wire fixation, Coracoclavicular ligament repairAbstract
Background and objectives: The most effective method for the surgical treatment of acromioclavicular joint dislocation has not been established. Two commonly used techniques are clavicle hook-plate fixation and K-wire fixation with coracoclavicular ligament repair. We performed a retrospective study to compare these two treatment strategies.
Materials and Methods: A total of 60 patients were selected for review. Each patient was treated by one of the two methods. Data including operative time, pain score, shoulder score, return to previous work within three months, return to previous activity within six months, and operative complications were collected.
Results: Thirty-two patients were treated with clavicle hook plate fixation, and the rest (28) were treated with K-wire fixation and coracoclavicular ligament repair. Clavicle hook-plate fixation was associated with significantly shorter operative time and lower rate of complications (P < 0.05). There were no significant differences in postoperative pain, shoulder score, return to previous work within three months, and return to previous activity within six months, between the two groups.
Conclusion: The clavicle hook-plate technique is similar in effectiveness to the K-wire fixation with coracoclavicular ligament repair in the treatment of acromioclavicular joint dislocation, but with shorter operative time and fewer complications.
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