Volume 10, Issue 4 (In-Press 2023)
JROS 2023, 10(4): 0-0 |
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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)
URL: http://jros.iums.ac.ir/article-1-2265-en.html
URL: http://jros.iums.ac.ir/article-1-2265-en.html
Morteza Nakhaei Amroodi 
, Pouria Tabrizian , Mojtaba Baniasadi 1, Mohammadreza Bahaeddini , Farzaneh Merdowsi , Khatere Mokhtari , Babak Roshanravan , Saeed Amiri
, Pouria Tabrizian , Mojtaba Baniasadi 1, Mohammadreza Bahaeddini , Farzaneh Merdowsi , Khatere Mokhtari , Babak Roshanravan , Saeed Amiri
Abstract: (46 Views)
Introduction: The acromioclavicular joint connects the clavicle and scapula, ensuring shoulder girdle coordination. In subacute injuries, the acromioclavicular and coracoclavicular ligaments retain healing potential, often requiring surgical treatment for tissue repair. The clavicular hook plate, fixed to the back of the acromioclavicular joint after reduction, prevents re-dislocation. This study investigates the suitability of hook plate surgery without ligament reconstruction for subacute acromioclavicular joint cases.
Methods: A retrospective cohort study was conducted on 38 patients with subacute acromioclavicular joint injuries treated with a hook plate, without reconstruction. Demographic data, injury and surgery timing, and infection history were collected. Eligible patients were contacted for a final assessment.
Results: Most patients were male (86.84%), with an average age of 41 years. Surgery was predominantly on the dominant hand (63.16%). Average shoulder range of motion was 157.89 degrees for forward flexion, 153.95 for abduction, and 50.79 for external rotation. Pain was highest in the first six weeks (70%). Over 80% had no post-surgery infection, and 97% did not need 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 range of motion (P <0.05).
Conclusion: The present study showed hook plate fixation was effective for subacute acromioclavicular joint injuries, with better outcomes in patients ≤45 years old.
Methods: A retrospective cohort study was conducted on 38 patients with subacute acromioclavicular joint injuries treated with a hook plate, without reconstruction. Demographic data, injury and surgery timing, and infection history were collected. Eligible patients were contacted for a final assessment.
Results: Most patients were male (86.84%), with an average age of 41 years. Surgery was predominantly on the dominant hand (63.16%). Average shoulder range of motion was 157.89 degrees for forward flexion, 153.95 for abduction, and 50.79 for external rotation. Pain was highest in the first six weeks (70%). Over 80% had no post-surgery infection, and 97% did not need 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 range of motion (P <0.05).
Conclusion: The present study showed hook plate fixation was effective for subacute acromioclavicular joint injuries, with better outcomes in patients ≤45 years old.
Type of Study: Research Article |
Subject:
Shoulder / Elbow
Received: 2024/12/21 | Accepted: 2024/12/30 | Published: 2023/11/19
Received: 2024/12/21 | Accepted: 2024/12/30 | Published: 2023/11/19
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