KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ TRẬT KHỚP CÙNG ĐÒN BẰNG NẸP MÓC TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objectives: Evaluating surgical results in treating acromioclavicular joint dislocation with a hook plate. Subjects and Methods: 45 patients with acromioclavicular joint dislocation underwent acromioclavicular joint fixation surgery with hook splints at the Department of Microsurgery and Upper Extremity, 108 Central Military Hospital, from January 2021 to June 2024. Results: The average age is 41.56 ± 12.53 degrees; age > 60 is the lowest proportion of 6.7% and 75.6% are male patients. The main cause is traffic accidents, which account for 73.3%. According to the Rockwood classification, levels III and V are the most common, accounting for 82.2%. The majority of patients healed in the first stage of surgery; one patient had surgical wound infection, accounting for 2.2% and one patient had splint dislodgment after surgery, accounting for 2.2%. Shoulder joint range of motion >160º accounts for 28.6%, 120-160º accounts for 71.6%, and no patient has movement <120º. The average Constant score was 86.06 ± 9.45. Complications of acromioclavicular joint degeneration in 5/35 patients (14.3%), resorption of the lateral clavicle in 2/35 patients (5.7%), subacromial space narrowing in 1/35 patients (2.9%), acromioclavicular joint degeneration, and lateral clavicle resorption in 5/35 patients (14.3%). Conclusion: Surgical treatment of acromioclavicular joint dislocation with a hook-lock splint allows early mobilization and good functional recovery. However, it is necessary to choose the type of splint appropriate to the anatomy and remove the splint early to limit possible complications.