Journal List > J Korean Orthop Assoc > v.37(4) > 1012022

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Lee, Lee, Kang, Kang, Park, Kim, and Kim: Operative Treatment of Complete Dislocation of the Acromioclaviclar Joint with a Wolter Plate
Original Article

Journal of the Korean Orthopaedic Association 2002; 37(4): 459-463.

Published online: 4 January 2018

DOI: https://doi.org/10.4055/jkoa.2002.37.4.459

Operative Treatment of Complete Dislocation of the Acromioclaviclar Joint with a Wolter Plate

Han Jun Lee, Eun Woo Lee, Ki Ser Kang, Soo Yong Kang, Cheol Kyoung Park, Kyoung Whan Kim, Tae Ho Kim

Department of Orthopedic Surgery, Phildong Hospital, Chung-Ang University, Seoul, Korea.

gustinolhj@hanafos.com

Copyright © 2002 The Korean Orthopaedic Association

Abstract

Purpose

We studied to analyse the results of Wolter plate fixation for the treatment of complete acromioclavicular joint dislocation.

Materials and Methods

From September 1999 to August 2000, 20 patients with complete dislocation of the acromioclavicular joint were treated by Wolter plate fixation. The radiologic and clinical outcomes were evaluated by UCLA scoring. The mean duration of follow up was fifteen months.

Results

Functional outcomes at the last follow up were excellent in eleven (55%), good in seven (35%) and poor in two cases (10%). The mean preoperative coracoclavicular interval on the injured side was 200% versus the normal side, and after operation this was 15%. In one case of an elderly patient, the plate was removed at 6 weeks due to loss of fixation.

Conclusion

The Wolter plate fixation for complete acromioclavicular joint dislocation was considered as one of the effective method. But careful attention should be taken to prevent possible acromial fracture in the elderly.

Keywords: Acromioclavicular joint, Complete dislocation, Wolter plate

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