2001 Volume 25 Issue 3 Pages 571-574
[Purpose] Many surgical options have been reported for acromioclavicular dislocation. We have performed a modified Neviaser's procedure for grade III acromioclavicular dislocation using Wolter's clavicular plate. The purpose of this study is to evaluate the clinical outcomes of the cases performed since 1995.
[Materials and Methods] In this study,30 cases (24 males and 6 females) which were diagnosed as grade III acromioclavicular dislocation according to Tossy's classification were evaluated. The mean age of the cases was 41.7 years old ranging from 19 to 75 years old and their mean follow-up period was 15 months (8-28 months). The cases were treated by a modified Neviaser's procedure using Wolter's clavicular plate as a temporary fixater of the acromioclavicular joint. The clinical results were evaluated by Kawabe's scoring system and the JOA shoulder rating system.
[Results] According to Kawabe's scoring,21 cases were excellent,4 cases were good,2 cases were fair and 3 cases were poor. The mean value of the JOA score was 93.0 points. Osteoarthritic change of the acromioclavicular joint had progressed in one case and fracture of the acromion occurred in two cases which were considered poor results.
[Conclusion] The use of Wolter's clavicular plate enables secure reduction and rigid fixation of the acromioclavicular joint for a modified Neviaser's procedure. In the present study, satisfactory clinical results were obtained. However, the appropriate position of the hook on the acromion is essential to prevent complications of this procedure.
