In-Depth Exploration of the Efficacy of Hook Plate-Double Ligament Dynamic Fixation for HACD
Abstract
Objective: To evaluate the therapeutic effect of dynamic fixation with a hook plate-double loop plate internal fixation system for high-energy acromioclavicular joint complex dislocation (denoted as HACD, i.e., Rockwood type III-V dislocation). Methods: Fifty-eight patients with HACD were selected and evenly divided by drawing lots. The experimental group underwent ligament reconstruction treatment, while the reference group received hook plate fixation treatment. The efficacy and other indicators were compared between the groups. Results: The overall effective rates between the groups were similar (P > 0.05). The experimental group had a longer surgical duration, lower pain scores at 6 months postoperatively, higher shoulder joint function scores, and a lower complication rate, with P < 0.05 when compared between groups. Conclusion: The effectiveness of the double loop plate internal fixation system ligament reconstruction treatment for patients with HACD is comparable to that of hook plate fixation treatment. Although the surgical duration is slightly longer, postoperative pain is milder, facilitating the recovery of shoulder joint function in patients and offering higher safety.
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