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http://dx.doi.org/10.5397/cise.2019.22.3.149

Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate  

Koh, Kyoung Hwan (Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Shin, Dong Ju (Department of Orthopaedic Surgery, Daegu Fatima Hospital)
Hwang, Seong Mun (Department of Orthopaedic Surgery, Daegu Fatima Hospital)
Publication Information
Clinics in Shoulder and Elbow / v.22, no.3, 2019 , pp. 149-153 More about this Journal
Abstract
We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.
Keywords
Acromioclavicular joint; Hook plate; Acromial fracture; Crossbar technique;
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