Abstract

The purpose of this study is to evaluate the results of surgical treatment for using acromioclavicular (AC) titanium plate. Since 1999, 4 patients (2 men and 2 women, mean age 35 (18 to 47) years) were treated by using the plate, 1 with AC dislocation (Tossy grade III) and 3 with distal clavicular fractures (Neer type II). The patients were evaluated after a mean follow-up of 9 (4 to 15) months.According to Kawabe's scoring, 2 patients were excellent, 1 patient was good, and 1 patient was poor. Acromion fracture occurred in 1 patient and 2 patients complained of painful shoulder motion due to stimulus of the hook (in 1 patient, the pain decreased after removal).Satisfactory clinical results were obtained in this study. It is essential to place the hook at an appropriate posterior position in the acromion and to bend the plate to fit the clavicle.

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