Đánh giá kết quả điều trị trật khớp cùng đòn bằng nẹp khóa móc không tái tạo dây chằng quạ đòn

Acromioclavicular joint (ACJ) dislocation is one of common shoulder injuries, but there is no consensus on conservative treatment as well as surgical technique options. Reduction and fixation with hook surgery has been found to be effective in treating acute ACJ dislocation, however, there are very few studies evaluating the results of this method. Objectives: The study was to survey outcomes evaluation of treatment acute ACJ dislocation by internal fixation with lock hook plate without coracoclavicular ligament reconstruction. Materials and methods: This was designed a prospective clinical study. All patients were diagnosed with ACJ dislocation grade III, IV, V, VI according to Rockwood classification were assigned surgical treatment with hook plate at Can Tho Central General Hospital in 2020-2022. We recorded the general characteristics of patients, radiographical findings and treatment outcomes. Results: 42 patients (32 men/10 women, 44.3 y) were included in the present study. The ACJ dislocation grade V was majority rate. The average surgery time was 62 minutes. The result of reduction ACJ was 100%. The functional results according to the Constant-Murley Score increased from 33.7 ± 5.6 before surgery to 88.9 ± 5.3 at the time of last follow-up, the CS level achieved 100% good to excellent. The main complication was subacromial osteolysis with four patients. Satisfaction level of patients were 97,6% very satisfied and satisfied. Conclusion: Reduction and fixation surgery with lock hook plate in the treatment of acute ACJ dislocation (<3 weeks) is one of the good methods with the ability to reduce and rehabilitate good function of the joint, so that the patients can return to activity and work soon.