Surgical treatment of type III acromioclavicular dislocation: Bosworth technique versus hook plating

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dc.authorid0000-0001-9283-582X
dc.contributor.authorGümüştaş, Seyit Ali
dc.contributor.authorSağlam, Fevzi
dc.contributor.authorKömür, Baran
dc.contributor.authorBatmaz, Ahmet Güray
dc.contributor.authorYukunç, İsmail
dc.contributor.authorTosun, Hacı Bayram
dc.contributor.authorBekler, Halil İbrahim
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T20:02:09Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T20:02:09Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000453318400010
dc.descriptionPubMed ID: 30859165
dc.description.abstractOBJECTIVE: 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 treated by two different surgical methods in two different clinics. The patients were 30 males and 14 females with a mean age of 44 years (range, 18-80 years). The patients were divided into 2 groups according to the applied surgical technique. Group I comprised 25 patients to whom coracoclavicular fixation was applied by using the Bosworth technique. Group II comprised 19 patients to whom acromioclavicular fixation was applied by using hook plate. All patients are evaulated by The University of 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 was determined 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 statistically highly 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 difference between two groups in terms of the time of return to work. Treatment of the AC dislocation should perform early reconstruction for better reduction, fewer complications and higher levels of patient satisfaction.
dc.identifier.citationGümüştaş, S. A., Sağlam, F., Kömür, B., Batmaz, A. G., Yukunç, İ., Tosun, H. B. ... Bekler, H. İ. (2018). Surgical treatment of type III acromioclavicular dislocation: Bosworth technique versus hook plating. Northern Clinics of İstanbul, 5(4), 334-340. https://dx.doi.org/10.14744/nci.2017.65037
dc.identifier.doi10.14744/nci.2017.65037
dc.identifier.endpage340
dc.identifier.issn2148-4902
dc.identifier.issue4
dc.identifier.startpage334
dc.identifier.urihttps://dx.doi.org/10.14744/nci.2017.65037
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3566
dc.identifier.volume5
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKare Publishing
dc.relation.ispartofNorthern Clinics of İstanbulen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcromioclavicular Dislocation
dc.subjectBosworth Technique
dc.subjectFixation
dc.subjectHook Plating
dc.subjectResults
dc.titleSurgical treatment of type III acromioclavicular dislocation: Bosworth technique versus hook plating
dc.typeArticle

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