Clinical Outcome Following Treatment with Clavicular Hook Plate
|C R Varrall*|
|Cumberland Infirmary, Carlisle, UK|
|Corresponding Author :||C R Varrall, MBBS
Castle Farm House, Backworth
Newcastle-upon-Tyne, NE27 0AU, UK
|Received May 21, 2012; Accepted October 27, 2012; Published October 29, 2012|
|Citation: Varrall CR (2012) Clinical Outcome Following Treatment with Clavicular Hook Plate. J Trauma Treat 1:150. doi:10.4172/2167-1222.1000150|
|Copyright: © 2012 Varrall CR. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Hook plates are used to treat acromio-clavicular joint dislocations and lateral clavicle fractures. Our study looked at patient outcome following treatment with a Synthes clavicular hook plate.
Method: Medical notes review and telephone interview of patients treated with a clavicular hook plate between 2003 and 2009 at Airedale General Hospital. Modified constant score calculated looking at pain, range of movement, power and functional level, and general comments recorded.
Results: Total of fifteen patients treated with hook plates, unable to contact two patients, three notes unavailable. Of remaining ten patients (M:F; 7:3), six were for lateral clavicle fractures, three for ACJ dislocation and one not recorded. One plate was still in situ. Follow up after plate removal ranged from 0-79 months, mean 22 months. Only complication was a fatigue fracture next to the plate prior to removal. Modified constant score, out of 80, had a mean of 78 (range 25-80). Patients reported problems with pain and reduced range of movement whilst the hook plate was in situ, with some pain remaining after removal, particularly affecting their sleep.
Conclusion: It is previously documented that hook plates are an effective way of treating ACJ dislocations and lateral clavicle fractures, however patients should be appropriately counselled of the likely is comfort whilst in situ which occasionally persists after removal.