Ki-Ser Kang; Han-Jun Lee; Jae-Sung Lee; Jae-Yoon Kim; Yong-Beom Park

doi:10.12671/jkfs.2009.22.4.259

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Original Article
Long Term Follow up Results of the Operative Treatment of the Acromioclavicular Joint Dislocation with a Wolter Plate: Ki-Ser Kang, M.D., Han-Jun Lee, M.D., Jae-Sung Lee, M.D., Jae-Yoon Kim, M.D., Yong-Beom Park, M.D.; Journal of the Korean Fracture Society 2009;22(4):259-263.
DOI: https://doi.org/10.12671/jkfs.2009.22.4.259
Published online: October 30, 2009

Department of Orthopedic Surgery, Yong-San Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

Address reprint requests to: Jae-Sung Lee, M.D. Department of Orthopaedic Surgery, Yong-San Hospital, Chung-Ang University College of Medicine, 65-207, Hangangro-3ga, Yongsan-gu, Seoul 140-757, Korea. Tel: 82-2-748-9746, Fax: 82-2-793-6634, boneman@cau.ac.kr

• Received: April 11, 2009 • Revised: May 29, 2009 • Accepted: September 11, 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the long-term clinical and radiological results of the operative treatment of the acromioclavicular dislocation with a Wolter plate.
Materials and Methods
We reviewed clinical and radiological data of twenty patients (mean age: 37 years) who underwent the operative treatment of acromioclavicular joint dislocation using a Wolter plate from September, 1999 to December, 2002 with minimum of five years follow-up (average 6 years 7 months). The clinical outcomes of twenty patients were evaluated by UCLA scoring and radiological results of fifteen patients with available radiograph were evaluated by Zanca view and stress view.
Results
The mean UCLA score was mean 33 points (range, 27~35) at final follow up. By clinical evaluation, twelve cases (60%) were excellent, six cases (30%) were good and two cases were poor (10%). By radiological evaluation, eight cases (54%) were excellent (without displacement), five cases (33%) were good (displacement<5 mm) and two cases (13%) were poor (displacement>5 mm). Erosive change in acromioclavicular joint was seen in poor case.
Conclusion
Wolter plate fixation may be a useful modality for treating acromioclavicular joint dislocation. Great care should be taken to make the hook hole at the appropriate position during operation for long-term prognosis.
Key words: Acromioclavicular joint, Dislocation, Wolter plate

REFERENCES

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Fig. 1

X-ray shows the coracoclavicular distance (white arrow).

Fig. 2

(A) Preoperative stress radiograph shows type V acromioclavicular dislocation.

(B) Postoperative 8 years stress radiograph of same patient shows no differences of coracoclavicular interval and degenerative changes of acromioclavicular joint.

Fig. 3

X-ray of 45 year old male at postoperative 3months shows widening of the hook hole (white arrow).

Table 1

Average scores of university of california at los angeles end-results

FF: Forward flexion.

Table 2

Radiologic results of coracoclavicular distance (paired t-test)

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation
Min Su Joo, Hoi Young Kwon, Jeong Woo Kim
Clinics in Shoulder and Elbow.2021; 24(4): 202. CrossRef
Clinical Comparison of Two Types of Hook Plate in Surgical Treatment of Acromioclavicular Dislocation - AO Hook Plate and Wolter Plate -
Jea-Yeol Choi, Eugene Kim, Haw-Jae Jeong, Jin Whan Ahn, Hun-Kyu Shin, Se-Jin Park, Seung-Hee Lee, Jae-Wook Lee, Kyu-Bo Choi
The Journal of the Korean Shoulder and Elbow Society.2012; 15(2): 123. CrossRef

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Long Term Follow up Results of the Operative Treatment of the Acromioclavicular Joint Dislocation with a Wolter Plate

J Korean Fract Soc. 2009;22(4):259-263. Published online October 31, 2009

DOI: https://doi.org/10.12671/jkfs.2009.22.4.259

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Figure

We recommend

Long Term Follow up Results of the Operative Treatment of the Acromioclavicular Joint Dislocation with a Wolter Plate

Fig. 1 X-ray shows the coracoclavicular distance (white arrow).

Fig. 2 (A) Preoperative stress radiograph shows type V acromioclavicular dislocation. (B) Postoperative 8 years stress radiograph of same patient shows no differences of coracoclavicular interval and degenerative changes of acromioclavicular joint.

Fig. 3 X-ray of 45 year old male at postoperative 3months shows widening of the hook hole (white arrow).

Fig. 1

Fig. 2

Fig. 3

Long Term Follow up Results of the Operative Treatment of the Acromioclavicular Joint Dislocation with a Wolter Plate

Table 1

Average scores of university of california at los angeles end-results

FF: Forward flexion.

Table 2

Radiologic results of coracoclavicular distance (paired t-test)

Table 1 Average scores of university of california at los angeles end-results

FF: Forward flexion.

Table 2 Radiologic results of coracoclavicular distance (paired t-test)