SURGICAL TREATMENT OF ACROMIOCLAVICULAR DISLOCATION: HOOK PLATE VERSUS SUTURE BUTTON

TRATAMENTO CIRÚRGICO DA LUXAÇÃO ACROMIOCLAVICULAR: LACA DE GANCHO VERSUS BOTÃO DE SUTURA

ABSTRACT

Objectives:

We aimed to compare the functional and radiographical outcomes of reconstruction of acute unstable acromioclavicular joint (ACJ) dislocation using Hook Plate (HP) versus Suture Endobutton (SE) fixation techniques.

Methods:

Forty-six consecutive patients with grade III to V ACJ dislocation according to Rockwood classification who underwent either HP or SE fixation in the period between January 2017 and June 2020 were evaluated. The treatment modalities were divided into either HP or SE fixation. The radiological assessment included standard anterior-posterior (AP) views to evaluate coracoclavicular (CC) distances for vertical reduction.

Results:

CC distances were grouped as preoperative (CC¹), early postoperative (CC²), and late postoperative (CC³). The distance variance between CC² and CC³ was referred as ΔCC (CC³ - CC²). A statistically significant difference was found in ΔCC between the two groups (p=0.008). ΔCC was significantly higher in the SE group compared to the HP group (p<0.05). The Constant and UCLA Scores of patients in the SE group were found to be significantly higher than in the HP group patients.

Conclusion:

Clinical outcomes were more satisfactory in patients with acute unstable ACJ dislocation who underwent SE compared to HP procedures, at the end of the first year. Evidence Level IV; Case Series.

Keywords:
Acromioclavicular Joint; Surgical Procedures; Clavicle; Joint Dislocations