Abstract
We retrospectively analyzed the clinical data of 635 patients with acute acromioclavicular dislocation, who underwent surgery in our hospital between May 2014 and June 2020. Patients were divided into group A (clavicular hook plate) and group B (Triple-Endobutton plates via double-incision). The propensity score analysis using one to one match was performed for comparisons. We obtained 292 matched patients’ data. The matched preoperative clinical characteristics were a balance between the two groups. All clinical parameters showed insignificant differences (P > 0.05). Compared with group A, group B has longer operative time (P < 0.001) and more blood loss (P < 0.001); however, the mean incision length (P < 0.001) and length of hospitalization (P < 0.001) were shorter in group B than in the group A. The mean VAS in group B were significantly lower than in group A at each time point (P < 0.001), and the UCLA shoulder score was higher in the group B. The CMS scores were also higher in group B than in group A, including before removal and 12 weeks after removal (P < 0.001). The clinical efficacy of the double-incision Triple-Endobutton plate is better than the clavicular hook plate technology, and achieves anatomical reduction by reconstructing coracoclavicular ligament.
Highlights
We retrospectively analyzed the clinical data of 635 patients with acute acromioclavicular dislocation, who underwent surgery in our hospital between May 2014 and June 2020
Using propensity score matching (PSM) method, we assessed the clinical efficacy of the double-incision Triple-Endobutton plates and clavicular hook plate in treatment of acute acromioclavicular joint dislocation
We retrospectively analyzed the clinical data of patients with acute acromioclavicular dislocation who underwent surgery in our hospital between May 2014 and June 2020, and the patients were confirmed according to the preoperative clinical and radiographic assessment
Summary
Abstract: We retrospectively analyzed the clinical data of 635 patients with acute acromioclavicular dislocation, who underwent surgery in our hospital between May 2014 and June 2020. The clinical efficacy of the double-incision Triple-Endobutton plate is better than the clavicular hook plate technology, and achieves anatomical reduction by reconstructing coracoclavicular ligament. The most widely used surgical method in clinical practice is internal fixation of clavicle hook plate, which has definite efficacy [7] Postoperative complications such as limited shoulder joint motion, shoulder pain, acromial impingement, and re-dislocation. In 2007, Struhl first proposed the anatomical reconstruction of the coracoclavicular ligament with Double-Endobutton for the treatment of acromioclavicular joint dislocation, and the clinical effect of short and mid-term follow-up was satisfactory [8]. Using propensity score matching (PSM) method, we assessed the clinical efficacy of the double-incision Triple-Endobutton plates and clavicular hook plate in treatment of acute acromioclavicular joint dislocation. The criteria for exclusion are as follows: (1) Patients with fractures and dislocations of other parts of the body. (2) Combined with osteoporosis. (3) Combined brachial plexus nerve and blood vessel injury. (4) Patients with other major physical diseases such as liver, kidney, and malignant tumor. (5) Combined with a history of other diseases of the ipsilateral shoulder joint or surgery
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