Volume 10, Issue 4 (11-2023)
JROS 2023, 10(4): 231-236 |
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Nakhaei Amroodi M, Tabrizian P, Baniasadi M, Bahaeddini M, Merdowsi F, Mokhtari K, et al . The Outcomes of Hook Plate Fixation in Acromioclavicular Injuries. JROS 2023; 10 (4) :231-236
URL: http://jros.iums.ac.ir/article-1-2265-en.html
URL: http://jros.iums.ac.ir/article-1-2265-en.html
Morteza Nakhaei Amroodi1 
, Pouria Tabrizian 1, Mojtaba Baniasadi1 , Mohammadreza Bahaeddini1 , Farzaneh Merdowsi2 , Khatere Mokhtari3 , Babak Roshanravan4 , Saeed Amiri1
, Pouria Tabrizian 1, Mojtaba Baniasadi1 , Mohammadreza Bahaeddini1 , Farzaneh Merdowsi2 , Khatere Mokhtari3 , Babak Roshanravan4 , Saeed Amiri1
1- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Shafayahaieyan Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Cellular and Molecular Biology and Microbiology, Faculty of Biological Sciences and Technology, University of Isfahan, Isfahan, Iran.
4- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Shafayahaieyan Hospital, Iran University of Medical Sciences, Tehran, Iran. & Department of Orthopedic Surgery, School of Medicine, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran.
2- Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
3- Department of Cellular and Molecular Biology and Microbiology, Faculty of Biological Sciences and Technology, University of Isfahan, Isfahan, Iran.
4- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Shafayahaieyan Hospital, Iran University of Medical Sciences, Tehran, Iran. & Department of Orthopedic Surgery, School of Medicine, Imam Reza Hospital, Birjand University of Medical Sciences, Birjand, Iran.
Abstract: (130 Views)
Background: The acromioclavicular joint (ACJ) connects the clavicle and scapula, ensuring shoulder girdle coordination. In subacute injuries, acromioclavicular and coracoclavicular ligaments retain healing potential and often require surgical treatment to repair the tissue. The clavicular hook plate, fixed to the back of the ACJ after reduction, prevents redislocation.
Objectives: This study aims to investigate the suitability of hook plate surgery without ligament reconstruction in patients with subacute ACJ.
Methods: A retrospective cohort study was conducted on 38 patients with subacute ACJ injuries treated with a hook plate without reconstruction. Demographic data, injuries, timing of surgery, and infection history were collected. Eligible patients were contacted for final assessment.
Results: Most patients were men (86.84%), with a mean age of 41 years. Surgery was predominantly on the dominant hand (63.16%). The mean shoulder range of motion (ROM) was 157.89° for forward flexion, 153.95° for abduction, and 50.79° for external rotation. The highest pain was in the first six weeks (70%). Over 80% of the patients had no post-surgery infection, and 97% did not require re-surgery. No significant statistical relationship was found between pain intensity and other variables (P>0.05). Men reported clinically higher pain levels. Younger patients (<45 years) had significantly better ROM (P<0.05).
Conclusion: The present study showed that hook plate fixation was effective for subacute ACJ injuries, with better outcomes in patients ≤45 years old.
Objectives: This study aims to investigate the suitability of hook plate surgery without ligament reconstruction in patients with subacute ACJ.
Methods: A retrospective cohort study was conducted on 38 patients with subacute ACJ injuries treated with a hook plate without reconstruction. Demographic data, injuries, timing of surgery, and infection history were collected. Eligible patients were contacted for final assessment.
Results: Most patients were men (86.84%), with a mean age of 41 years. Surgery was predominantly on the dominant hand (63.16%). The mean shoulder range of motion (ROM) was 157.89° for forward flexion, 153.95° for abduction, and 50.79° for external rotation. The highest pain was in the first six weeks (70%). Over 80% of the patients had no post-surgery infection, and 97% did not require re-surgery. No significant statistical relationship was found between pain intensity and other variables (P>0.05). Men reported clinically higher pain levels. Younger patients (<45 years) had significantly better ROM (P<0.05).
Conclusion: The present study showed that hook plate fixation was effective for subacute ACJ injuries, with better outcomes in patients ≤45 years old.
Type of Study: Research Article |
Subject:
Shoulder / Elbow
Received: 2022/12/21 | Accepted: 2023/10/30 | Published: 2023/11/1
Received: 2022/12/21 | Accepted: 2023/10/30 | Published: 2023/11/1
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