Clinical Study On The Effect Of Percutanous Clavicular-hook-plating On Acute Acromioclavicular Dislocation

Objective:To introduced the percutaneously implantable surgical treatment of clavicular hook plate acute acromioclavicular joint dislocation, and compare the clinical efficacy of traditional incision implantation of clavicular hook plate.[Method] Implanted clavicular hook plate by percutaneous techniques and traditional incision for treating25patients of fresh Rockwood â…¡-â…¢ acromioclavicular joint dislocation;14patients of conventional surgery group,11patients of percutaneous surgery group. To compared the incision length, operative time and blood loss between two groups, the comparison between the reference Karlsson curative effect evaluation criteria.Results:25patients were followed up for an average of12.3months. The operative time and blood loss after skin surgery and conventional surgery group were51.6min,61.4ml and53.9min,68.2ml; the difference between the data of two groups were not statistically significant (P>0.05). In percutaneous incision surgery group, the average of length is3.5cm, in the traditional incision surgery group, the average of length is7.4cm, the data between the two groups was statistically significant (P <0.05). According to Karlsson assessed, in the percutaneous surgery group, there were8patients in grade A,2patients in grade B and1patient in grade C; in the conventional surgery group, there were10patients in grade A,3patients in grade B and1patient in grade C, no significant clinical efficacy difference between the two groups(P>0.05).Conclusion:Clavicular hook plate is still a safe and effective manner treatment for acute acromioclavicular joint dislocation, percutaneous implantation of clavicular hook plate is easy operation, small skin scars, in line with the needs of modern aesthetic surgical incision; postoperative efficacy and no significant difference in the way of the traditional incision. the percutaneously implantable surgical is worthy of promotion.