Document Detail


Arthroscopic-assisted hook plate fixation for acromioclavicular joint dislocation.
MedLine Citation:
PMID:  23142861     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We present a new technique of arthroscopic-assisted AC-hook plate fixation for acromioclavicular joint dislocation with all the advantages of minimally invasive surgery and the possibility to treat concomitant pathologies.
METHODS: Initially a glenohumeral arthroscopy is performed to address concomitant intra-articular injuries. Under subacromial visualisation the drill hole for the hook of the plate can be exactly positioned in the acromion. The hook plate is put in place under visual control.
RESULTS: The initial results (n = 3) are promising with good to excellent results in the Constant score [90.5 (range 82-100)] in all cases studied. The cross-body test was slightly positive in one case. The median follow-up time after the index procedure was seven months (range five to ten).
CONCLUSIONS: In conclusion, arthroscopic-assisted reconstruction of acromioclavicular joint separation is feasible and may provide patients with all the benefits of AC-hook fixation with decreased risks related to open surgery. The described technique is recommended for all surgeons familiar with arthroscopic surgery.
Authors:
Justus Gille; Gerhard Heinrichs; Andreas Unger; Helge Riepenhof; Jan Herzog; Benjamin Kienast; Ralf Oheim
Publication Detail:
Type:  Journal Article     Date:  2012-11-11
Journal Detail:
Title:  International orthopaedics     Volume:  37     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-31     Completed Date:  2013-05-27     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  77-82     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Acromioclavicular Joint / injuries,  surgery*
Activities of Daily Living
Arthroplasty, Replacement / instrumentation,  methods*
Arthroscopy / methods*
Bone Plates*
Humans
Joint Prosthesis*
Shoulder Dislocation / surgery*
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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