Locking compression plate clavicular hook fixation combined with reconstruction of coracoclavicular ligament with anchoring nail in the treatment of Tossy Ⅲacromioclavicular joint dislocation
CAI Bing
YU Shen-min
LIN Wen
LENG Yun-fei
ZHANG Peng-yi
LI Min
FU Sun
YAO Gong
Abstract：Objective To evaluate the therapeutic efficacy of the locking compression plate clavicular hook fixation and the reconstruction of the coracoclavicular ligament with anchoring nail in the treatment of Tossy Ⅲacro-mioclavicular joint dislocation .Methods Totally 32 patients with Tossy Ⅲacromioclavicular joint dislocation were treated with reduction followed by locking compression plate clavicular hook fixation and the reconstruction of the coracoclavicular ligament with anchoring nail as well as early postoperative functional exercise .Results All pa-tients were followed up for 6-18(average 10 ±2.2)months.According to Lazzcano rating system, the results were excellent in 18 cases,good in 13 cases and poor in 1 case.The excellent and good rate was 93.8%.One case of postoperative infection was healed by debridment and dressing change .In another case ,the anchoring nail was loos-ening 8 weeks after the operation .The patient suffered pains in the acromion and relieved after removal of the plate and nail.There was no vascular or nerve injury ,plate or screw break or recurred dislocations .Conclusion Loc-king compression plate clavicular hook fixation combined with anchoring nail are minimally invasive and stable with good recovery in the treatment of Tossy Ⅲacromioclavicular joint dislocation .
Keywords：acromioclavicular jointdislocationclavicular hookplateanchoring nailinternal fixation
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 500-502 )