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Surgical treatment of acromioclavicular dislocation: Tension band wiring versus hook plate

Publication at Faculty of Physical Education and Sport, First Faculty of Medicine |
2015

Abstract

The aim of the prospective randomized study was to compare tension wire cerclage and hook plate in the treatment of AC dislocation, primarily from the viewpoint of functional and radiological results. Method: The cohort comprised 80 patients with acute acromioclavicular (AC) dislocation of types 3, 4 and 5 of Rockwood classification.

The diagnosis was based on the clinical (disfiguration and instability) and radiographic examination (AP and stress radiograph). Forty patients were treated with tension band wiring (TBW) and another 40 with a hook plate (HP).

Evaluation was performed during one year after the surgery based on radiographs and the Constant score.