Clinical study on treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair

Objective: To explore the treatment of TOSSY type III acromioclavicular joint dislocation with clavicular hook plate combined with coracoclavicular ligament repair and its clinical effect. Methods: 80 patients with TOSSY type III acromioclavicular joint dislocation who were admitted to our hospital from January 2014 to January 2019 were selected. They were randomly divided into the control group (n = 39, treated with clavicular hook plate) and the observation group (n = 41, treated with clavicular hook plate combined with coracoclavicular ligament repair) by the random number table method. The clinical efficacy in 12 months after operation, related clinical indicators, 12-month postoperative recovery and postoperative complications were compared between the two groups. Results: The excellent and good rate was 92.68% (38/41) in 12 months after operation in the observation group, which was higher than that (76.92%, 30/39) in the control group (p < .05). There were no significant differences in the duration of surgery, intraoperative blood loss and HLOS between the observation group and the control group (p > .05). In 12 months after operation, abduction activity and forward flexion activity of the observation group were higher than those of the control group, and visual analogue score (VAS) was lower than that of the control group (p < .05). The incidence of complications in the observation group was slightly lower than that in the control group, but there was no statistically significant difference between the two groups (p > .05). Conclusions: For TOSSY type III acromioclavicular joint dislocation, clavicular hook plate combined with coracoclavicular ligament repair has a good clinical efficacy. It can improve shoulder joint function, alleviate shoulder pain and have fewer complications. It can provide a reference for clinical treatment of this type of acromioclavicular joint dislocation.

[1]  P. Masionis,et al.  The Relationship Between the Clinical and Radiological Findings and the Outcomes of Early Surgical Treatment After Tossy Type III Acromioclavicular Joint Dislocation , 2020, Cureus.

[2]  Xin-she Zhou,et al.  Clinical comparative study of metaphyseal locking intramedullary nail and locking plate in the treatment of humeral surgical neck fracture , 2019 .

[3]  J. Reid,et al.  Percutaneous endobutton fixation of acute acromioclavicular joint injuries and lateral clavicle fractures. , 2019, Journal of clinical orthopaedics and trauma.

[4]  J. Kovarik,et al.  [Comparison of Tension Banding and Modified Orthocord Sling in Acromioclavicular Dislocation Treatment - Non-Randomized Retrospective Study]. , 2019, Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca.

[5]  Dadi Jin,et al.  Fifteen-degree clavicular hook plate achieves better clinical outcomes in the treatment of acromioclavicular joint dislocation , 2018, The Journal of international medical research.

[6]  R. Hoffmann,et al.  Return to sport after acute acromioclavicular stabilization: a randomized control of double-suture-button system versus clavicular hook plate compared to uninjured shoulder sport athletes , 2018, Knee Surgery, Sports Traumatology, Arthroscopy.

[7]  Ding Xu,et al.  Outcomes of surgery for acromioclavicular joint dislocation using different angled hook plates: a prospective study , 2017, International Orthopaedics.

[8]  Kuo-Chih Su,et al.  Biomechanical analysis of clavicle hook plate implantation with different hook angles in the acromioclavicular joint , 2017, International Orthopaedics.