Comparison of the surgical effect of the treatment of Rockwood type Ⅲ acromioclavicular joint dislocation with the reconstruction of the coracoclavicular ligament and the hook plate fixation
YU Min
LI Yu-jia
NIU Ke
Abstract：Objective To observe the effect of the treatment of Rockwood type Ⅲ acromioclavicular joint dislocation with the reconstruction of the coracoclavicular ligament and the hook plate fixation.Methods Totally 36 cases of Rockwood type Ⅲacromioclavicular joint dislocation from Mar.2013 to Feb.2015 were retrospectively analyzed.Among them 27 were male and 9 were female ( age 19-32 years, mean 24.7 years ) . Eighteen cases ( Group A) accepted the surgery of coracoclavicular ligament reconstruction with the endobutton,and 18 cases ( Group B) accepted the surgery of hook plate fixation to reduct the dialocation of the acromioclavicular joint.The operation time,the VAS and the Constant-Murley score 12 weeks after surgery were analyzed and compared.Results The aver-age operation time was (59 ±4) minutes in Group A and (54 ±6) minutes in Group B without significant difference between the two groups;the VAS was ( 1.8 ±0.7 ) points in Group A and ( 1.5 ±1.1 ) points in Group B and the difference between the two groups was not significant;the Constant-Murley score was (91 ±3.7) points in Group A and (83 ±6.2)points in Group B and the difference between the two groups was significant(P=0.027).Conclu-sion Reduction of the acromioclavicular joint dislocation with the reconstruction of the coracoclavicular ligament u-sing the endbutton suspension can restore the biomechanics and moving track of the amphiarthrosis of acromioclavic-ular joint without increasing the operation time and the wound.It is an ideal surgery for its excellent recovery of the function of the shoulder.
Keywords：acromioclavicular jointdislocationcoracoclavicular ligamentplate
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 277-280 )