The indications for surgical treatment of complete acromioclavicular luxations are controversial. Surgical treatments using Wolter's hook plates provide satisfactory results in five cases of acromioclavicular luxations and four cases with distal clavicular fractures. All patients with acromioclavicular luxations had Tossy type III lesions, and Neer type II lesions were present in three patients with distal clavicular fractures. This device allowed early functional exercise after surgery.
According to the evaluation method proposed by Kawabe, in patients with acromioclavicular luxations, there were two excellent results and two good results. All patients with distal clavicular fractures had excellent results.
