Multistrand Titanium Cable Combined with AO Metacarpal Plate in Treating Acromioclavicular Dislocation: Case Series

Yapeng Wang, Ming Zhou, Yongwei Wu, Jun Liu, Yunhong Ma and Yongjun Rui*

Department of Orthopedics Surgery, Wuxi No.9 People’s Hospital Affiliated to Soochow University, China

^*Correspondance to: Yongjun Rui 

 PDF  Full Text DOI: 10.25107/2474-1647.3463

Abstract

Study Design: A technique note with case series. Introduction: As far as we know, no literature is available regarding Multistrand Titanium Cable (MSTC) combined with AO metacarpal plate in treating Acromioclavicular (AC) dislocation. Therefore, the current study aimed to evaluate the clinical results of applying such technology in treating AC dislocation. Patients and Methods: Thirteen patients with AC dislocation that were treated with MSTC combined with AO metacarpal plate in our hospital from June 2016 to April 2017 were enrolled. Postoperatively, radiographs, functional results, and complications were evaluated. Results: The 13 patients were followed up for at least 12 months, the average SF-36 for physical domain score in the last follow-up was 57.9 (range, 56.5-60), the average SF-36 for mental domain score was 58.3 (range, 55.5-60.0), the average VAS score for shoulder pain was 0.69 (range, 0.00- 2.00), the average DASH score was 4.5 (range, 4-5), the average constant score was 95.2 (range, 92-98), and the average global satisfaction was 8.8 (range, 8-9). The average forward flexion in the 13 patients was 170° (range, 160°-175°), the average lateral elevation was 163° (range, 155°-175°), the average external rotation in adduction was 50° (range, 45°-55°), the average internal rotation in abduction was 71° (range, 66°-75°), and the average strength of abduction was 25 pounds (range, 20 to 28 pounds). No imaging complication or surgery-related adverse event occurred. Conclusion: MSTC combined with AO metacarpal plate is safe and effective, which is an alternative method to treat AC dislocation. However, its superiority should be further verified in future prospective and randomized controlled trials with large sample size.

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Cite the article

Wang Y, Zhou M, Wu Y, Liu J, Ma Y, Rui Y. Multistrand Titanium Cable Combined with AO Metacarpal Plate in Treating Acromioclavicular Dislocation: Case Series. Clin Surg. 2022; 7: 3463..