Assesment of Functional Outcome of Acromio Clavicular Joint Injuries Treated By Hook Plate Using Penn and Constant Score
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction Acromioclavicular joint dislocation is very common following upper extremity trauma. For acromioclavicular joint dislocations that are Rookwood type III and above, surgical treatment is currently recommended. Aims & Objectives: To Analyze the functional outcome of Acromioclavicular joint injuries (dislocations) grade 3 to 6 which were treated surgically using a hook plate. Material & Methods: A retrospective analysis was performed on the patients treated with a hook plate for Acromioclavicular joint dislocation in our hospital from February 2011 to March 2014 There were total 30 cases of pure acromioclavicular joint dislocation without associated injuries, including 21 males, and 9 females; mean age was 48.27 + 8.7 years (age range 20-67 years old). There were 28 cases of Rockwood type III acromioclavicular dislocation, 2 cases of type V. 16 cases had the injuries on the left side, 14 cases on the right side. All patients had open reduction and hook plate fixation within 2 to 6 days after injury, and had the hook plate removed within 8 to 12 months after the surgery. Results: According to the Constant-shoulder score the average scores were 76 ± 6 points 8 to 12 months after the surgery and before the removal of the hook plate, the average scores were 88 ± 6 minutes two months after the removal of hook plate. Postoperative X-ray imaging showed osteolysis in 9 cases (33.3%), osteoarthritis in five cases (20.%), osteolysis associated with osteoarthritis in four cases (13.3%), and steel hook broken in one case (3%) PENN score was excellent in 26 patients, good in 2 and fair in 2 cases patients. Conclusion: The use of hook plate on open reduction and internal fixation of the acromioclavicular joint dislocation had little adverse effect on shoulder function and is an effective method for the treatment of acromioclavicular joint dislocation. Osteoarthritis and osteolysis are the two common complications after hook plate use, which are associated with the impairment of shoulder function. Shoulder function will be improved after removal of the hook plate.
Authors and Affiliations
Amit Dwivedi, Ashok Kumar
Keywords
Related Articles
- EP ID EP381094
- DOI 10.9790/0853-1708064650.
- Views 71
- Downloads 0
Rehabilitation of maxillary necrosis treated with hollow complete denture prosthesis: A Case Report
This case report describes the prosthetic rehabilitation of maxillary necrosis patient with hollow denture prosthesis replacing the decayed tooth and missing hard and soft tissue area thus subsequently restoring esthetic...
Serum Lipid Profile in Pre-Eclampsia
Objective: To estimate serum lipid profile in normal and pre-eclamptic patients Study design and setting:Case-control study conducted in the Dept. of Biochemistry in collaboration with Dept. of Obstetrics &Gynaecology, R...
Role Of Platelet Indices In Patients With Dengue Fever- A Case Control Study.
Dengue is a global endemic and most prevalent human arbovirus disease. Recently, platelet indices have been assessed usefully in the diagnosis conditions with abnormal platelet counts. Present study aims to investigate a...
Self Instructed Adaptation of Oral Mucosa-Review
Gingival epithelium consists of three regions: oral gingival epithelium (OGE), sulcular epithelium (SE) and Junctional epithelium (JE). JE is a specialized gingival epithelium and it is located at a strategically importa...
The Surgical And Functional Outcome In Two Part And Three Part Fracture Of The Proximal Humerus Using Proximal Humerus Locking Plate (Philos Plate).
Proximal humerus fracture remains a major challenge for treating surgeons. While non-displaced fractures can be managed conservatively, displaced ones are often treated surgically. The incidence of proximal humerus fract...