Research Information System
İstanbul Kuzey Klinikleri, vol.5, no.4, pp.334-340, 2018 (Peer-Reviewed Journal)
OBJECTIVE: In this study, it was compared the clinical results of the Bosworth technique and hook plating in acromioclavicular(AC) dislocations.METHODS: 44 patients are retrospectively evaluated in this study whom diagnosed as type III AC dislocations and treatedby two different surgical methods in two different clinics. The patients were 30 males and 14 females with a mean age of44 years (range, 18–80 years). The patients were divided into 2 groups according to the applied surgical technique. Group Icomprised 25 patients to whom coracoclavicular fixation was applied by using the Bosworth technique. Group II comprised19 patients to whom acromioclavicular fixation was applied by using hook plate. All patients are evaulated by The Universityof California at Los Angeles Shoulder Score (UCLA) and The disabilities of the arm, shoulder and hand (DASH) scoring system.RESULTS: The mean follow-up period was 23 months (range, 12–42 months). A statistically significant diffference wasdetermined between the surgical groups in respect of the modified UCLA scale (p=0.012) and Quick DASH score (p=0.008).Hook plating group had better clinical results according to Bosworth group in terms of both UCLA and DASH score. A statisticallyhighly significant negative correlation was determined between the UCLA and DASH scores (r=0.677, p=0.000).CONCLUSION: Although hook plating had better clinic outcomes compared to Bosworth technique, there is not seen differencebetween two groups in terms of the time of return to work. Treatment of the AC dislocation should perform earlyreconstruction for better reduction, fewer complications and higher levels of patient satisfaction.