Acta of Shoulder and Elbow Surgery | Volume 2 | Issue 2 | July-Dec 2017 | Page 16-19 | Sebastian Trindade, Paola Del Re

Authors: Sebastian Trindade [1], Paola Del Re [2].

[1] Service of a upper limb of the Trinidad Mitre Clinical (CABA) and Medical Corporation Clinical (prov. Buenos Aires)
[2] Trinidad Mitre Clinical (CABA) and Medical Corporation Clinical (prov. Buenos Aires)

Address of Correspondence
Dr. Sebastian Trindade,
Manager of the service of a upper limb of the Trinidad Mitre Clinical (CABA) and Medical Corporation Clinical (prov. Buenos Aires)
Member Titular of The Argentina Association of Orthopedics and Traumatology (AAOT)
Email: trindadesebastian@gmail.com

Abstract

Introduction: Traumatic injuries of the AC joint are frequent in orthopedic practice accounting for about 9% of all shoulder injuries, the most commonly used classification is Rockwood. The purpose of this retrospective IVevidence level study is to present our experience using for the joint stabilization the hook plate described by Blazer 1976.
Material and Methods: from the period of August 2005 to March 2012 312 patients with acromio-clavicular dislocations were treated in our department, 51 were classified as III and IV type following Rockwood classification, 38 patients (11%) were treated with hook plate. The mean follow-up was 19 months, ranging from 11 to 26 months. The mean age was 36 years old (20-49). The surgery was performed at the average of 14 days from de injury.
Results: Patients were evaluated 6 and 18 months with the modified Quick-DASH, VAS and Constant Murley scales with 95% satisfaction. Discussion: In the surgical treatment, the method of fixation for the stability of the acute AC injury is a matter of debate. In clinical experience, none of them have proven to be any better than others. Based on an old principle of surgery in which different procedures of equal result should be chosen the simplest, animated by simplicity and reproducibility in the technique with low number of complications and an early rehabilitation we continue using this surgical procedure
Key words: Luxation A-C, Plate Hook. Level of Evidence: IV

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