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Crossbar Technique for the Failed Clavicular Hook Plate Fixation in an Acute Acromioclavicular Joint Dislocation: Salvage for Acromial Fracture after Clavicular Hook Plate
Clin Should Elbow 2019;22:149-153
Published online September 1, 2019;  https://doi.org/10.5397/cise.2019.22.3.149
© 2019 Korean Shoulder and Elbow Society.

Kyoung Hwan Koh, Dong Ju Shin1, Seong Mun Hwang1

Department of Orthopaedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, 1Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea
Correspondence to: Dong Ju Shin
Department of Orthopaedic Surgery, Daegu Fatima Hospital, 99 Ayang-ro, Dong-gu, Daegu 41199, Korea
Tel: +82-53-940-7320, Fax: +82-53-955-9990, E-mail: aabga@hanmail.net, ORCID: https://orcid.org/0000-0003-3612-3988
IRB approval: Daegu Fatima Hospital (No. DFH13ORIO214).
Received July 9, 2019; Revised August 1, 2019; Accepted August 4, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
We experienced acromial erosion and subsequent fracture after the treatment of Rockwood type V acromioclavicular dislocation with hook plate and coracoclavicular ligament augmentation. It was treated by using a surgical technique to address an acromial fracture and subsequent losses of reduction in acromioclavicular joint with two trans-acromial cortical screws (crossbar technique). The reduction state of acromioclavicular joint could be maintained by these two screws. Our crossbar technique could be considered as a good salvage procedure for the reduction loss caused by cutout or significant erosion of acromion after insertion of clavicular hook plate.
Keywords : Acromioclavicular joint; Hook plate; Acromial fracture; Crossbar technique