EFFECTIVENESS COMPARISON OF TRIPLE ENDOBUTTONS AND CLAVICULAR HOOK PLATE FOR TREATMENT OF FRESH ACROMIOCLAVICULAR JOINT DISLOCATION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIANG Dong , LUuml , Shujun , HONG Ye

Department of Orthopaedics, Haian People’s Hospital, Nantong University, Nantong Jiangsu, 226600, P.R.China. Corresponding author: JIANG Dong, E-mail: jiang1217@yeah.net;

Corresponding author：

Keywords：

Acromioclavicular joint dislocation; Triple Endobuttons; Clavicular hook plate; Internal fixation

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo compare the effectiveness of triple Endobuttons and clavicular hook plate fixation in the treatment of fresh acromioclavicular joint dislocation (Rockwood type III-V). MethodsBetween February 2008 and October 2010, 40 patients with fresh acromioclavicular joint dislocation (Rockwood type III-V) were treated with triple Endobuttons in 18 cases (trial group) and with clavicular hook plate in 22 cases (control group). There was no significant difference in gender, age, disease duration, joint dislocation classification, preoperative visual analogue scale (VAS) score and Constant-Murley score between 2 groups (P gt; 0.05). ResultsAfter operation, wound healed by first intention with no early complication of infection or neurovascular injury. The patients were followed up 12-20 months (mean, 15.8 months) in trial group and 13-24 months (mean, 17.2 months) in control group. Significant differences were found in the VAS score and Constant-Murley score at the last follow-up between 2 groups (P lt; 0.05). X-ray films showed no loosening of internal fixators or hook displacement occurred. No re-dislocation was observed. ConclusionTriple Endobuttons has less shoulder pain and better shoulder motion than clavicular hook plate, so it is an effective method of treating Rockwood type III-V fresh acromioclavicular joint dislocation.

Citation： JIANG Dong,LUuml,Shujun,HONG Ye,CAO Yong.. EFFECTIVENESS COMPARISON OF TRIPLE ENDOBUTTONS AND CLAVICULAR HOOK PLATE FOR TREATMENT OF FRESH ACROMIOCLAVICULAR JOINT DISLOCATION. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(9): 1025-1028. doi: Copy

1.	赵东明, 尹望平. 肩锁关节脱位的治疗进展. 中华创伤骨科杂志, 2006, 8(2): 172-175.
2.	黄晖, 苏伟, 杨志, 等. 自体或异体肌腱联合锁骨钩钢板治疗肩锁关节脱位. 中国骨与关节损伤杂志, 2007, 22(7): 538-540．.
3.	黄文宏, 方毅贞, 周少辉, 等. 重建肩锁韧带及喙锁韧带治疗陈旧性肩锁关节脱位. 中华创伤杂志, 2004, 20(8): 485-487.
4.	李林, 李松哲, 李成福. 锁骨钩钢板结合锚钉治疗肩锁关节脱位22例. 中国修复重建外科杂志, 2006, 20(8): 861-863.
5.	吴小峰, 高伟, 田纪伟. 对严重肩锁关节脱位手术治疗方法选择的探讨(附52例报告). 中国矫形外科杂志, 2007, 15(12): 901-903.
6.	Nadarajah R, Mahaluxminvala J, Amin A, et al. Clavicular hook-plate: complications of retaining the implant. Injury, 2005, 36(5): 681-683．.
7.	Struhl S. Double endobutton technique for repair of complete acromioclavicular joint dislocations. Tech Shoulder Elbow Surg, 2007, 8(4): 175-179．.
8.	冯永增, 洪建军, 陈鸿亮, 等. 锁骨钩钢板与双Endobutton 钢板治疗肩锁关节脱位的对比研究. 中华骨科杂志, 2009, 29(11): 1009-1014.
9.	Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 1987, (214): 160-164.
10.	Lim YW. Triple endobutton technique in acromioclavicular joint reduction and reconstruction. Ann Acad Med Singapore, 2008, 37(4): 294-299.
11.	De Baets T, Truijen J, Driesen R, et al. The treatment of acromioclavicular joint dislocation Tossy grade Ⅲ with a clavicle hook plate. Acta Orthop Belg, 2004, 70(6): 515-519.
12.	Gstettner C, Tauber M, Hitzl W, et al. Rockwood type Ⅲ acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg, 2008, 17(2): 220-225.
13.	Meda PV, Machani B, Sinopidis C, et al. Clavicular hook plate for lateral end fractures: a prospective study. Injury, 2006, 37(3): 277-283.
14.	Flinkkilä T, Ristiniemi J, Lakovaara M, et al. Hook-plate fixation of unstable lateral claricle fractures: a report on 63 patients. Acta Orthop, 2006, 77(4): 64-69.

1. 赵东明, 尹望平. 肩锁关节脱位的治疗进展. 中华创伤骨科杂志, 2006, 8(2): 172-175.
2. 黄晖, 苏伟, 杨志, 等. 自体或异体肌腱联合锁骨钩钢板治疗肩锁关节脱位. 中国骨与关节损伤杂志, 2007, 22(7): 538-540．.
3. 黄文宏, 方毅贞, 周少辉, 等. 重建肩锁韧带及喙锁韧带治疗陈旧性肩锁关节脱位. 中华创伤杂志, 2004, 20(8): 485-487.
4. 李林, 李松哲, 李成福. 锁骨钩钢板结合锚钉治疗肩锁关节脱位22例. 中国修复重建外科杂志, 2006, 20(8): 861-863.
5. 吴小峰, 高伟, 田纪伟. 对严重肩锁关节脱位手术治疗方法选择的探讨(附52例报告). 中国矫形外科杂志, 2007, 15(12): 901-903.
6. Nadarajah R, Mahaluxminvala J, Amin A, et al. Clavicular hook-plate: complications of retaining the implant. Injury, 2005, 36(5): 681-683．.
7. Struhl S. Double endobutton technique for repair of complete acromioclavicular joint dislocations. Tech Shoulder Elbow Surg, 2007, 8(4): 175-179．.
8. 冯永增, 洪建军, 陈鸿亮, 等. 锁骨钩钢板与双Endobutton 钢板治疗肩锁关节脱位的对比研究. 中华骨科杂志, 2009, 29(11): 1009-1014.
9. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res, 1987, (214): 160-164.
10. Lim YW. Triple endobutton technique in acromioclavicular joint reduction and reconstruction. Ann Acad Med Singapore, 2008, 37(4): 294-299.
11. De Baets T, Truijen J, Driesen R, et al. The treatment of acromioclavicular joint dislocation Tossy grade Ⅲ with a clavicle hook plate. Acta Orthop Belg, 2004, 70(6): 515-519.
12. Gstettner C, Tauber M, Hitzl W, et al. Rockwood type Ⅲ acromioclavicular dislocation: surgical versus conservative treatment. J Shoulder Elbow Surg, 2008, 17(2): 220-225.
13. Meda PV, Machani B, Sinopidis C, et al. Clavicular hook plate for lateral end fractures: a prospective study. Injury, 2006, 37(3): 277-283.
14. Flinkkilä T, Ristiniemi J, Lakovaara M, et al. Hook-plate fixation of unstable lateral claricle fractures: a report on 63 patients. Acta Orthop, 2006, 77(4): 64-69.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS COMPARISON OF TRIPLE ENDOBUTTONS AND CLAVICULAR HOOK PLATE FOR TREATMENT OF FRESH ACROMIOCLAVICULAR JOINT DISLOCATION

Abstract Full text Figures/Tables Video References Cited by

Format

Content