Author(s): Zain Sadozai, Jack Docherty and Mathew Varghese

Abstract: Background/Aims: Clavicle hook plates are commonly used for distal clavicle and acromioclavicular joint (ACJ) injuries, though their popularity has declined due to concerns over complications such as subacromial impingement, rotator cuff tears, and acromion erosion. Our study aims to assess complication rates in our patient population and compare our findings with existing literature. Methods: A retrospective single-centre cohort study was conducted on 48 patients (aged 13-74) who underwent hook plate fixation between 2019 and 2021. Data were collected from medical records and follow-up telephone surveys, including QuickDASH scores. Statistical analysis was performed using chi-squared tests with a significance level of 0.05. Results: Of the 48 patients, 4% (2/48) reported complications post-initial fixation (p=0.0997). After hook plate removal, 14% (6/43) reported symptoms, including reduced mobility (n=2), ACJ instability requiring surgery (n=2), and scar hypersensitivity (n=2). Two of five patients who retained their hook plate experienced symptoms. Follow-up QuickDASH scores showed 60% (18/30) of patients had no residual symptoms or functional impairment. Conclusion: Our study found a lower complication rate compared to existing literature, possibly due to high surgical expertise and frequent procedural use at our centre. With an average removal time of 204 days, our findings suggest that timely removal and experienced surgical teams contribute to better patient outcomes.

DOI: 10.22271/27078345.2025.v7.i2d.284

Pages: 200-202 | Views: 169 | Downloads: 92

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