{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T21:45:04Z","timestamp":1780523104353,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical efficacy of Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen (AO) clavicular hook plate (CHP) combined with coracoacromial ligament transposition for Rockwood III\u2010V dislocation of AC joint, providing an alternative choice for AC joint dislocation treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010five patients diagnosed with Rockwood III\u2010V dislocation of acromioclavicular (AC) joint, including 18 males and seven females, aged 43.5\u2009\u00b1\u20092.4\u2009years old on average, who had undergone open reduction and AO CHP in combination with coracoacromial (CC) ligament transposition between January 2010 and December 2015, were retrospectively analyzed. Among them, 17 cases were diagnosed as type III, five cases were type IV, and three cases were type V. The surgery mainly included three main steps: bone flap incision, drilling in the clavicle, and hook plate fixation and AC joint reposition. The treatment efficacy was evaluated through clinical examinations and imaging studies for the shoulder joint, including gross observation and measuring coracoid clavicle distance (CC\u2010Dist) using orthophoria X\u2010ray before and 1\u2009year after the surgery, and University of California (UCLA) shoulder rating scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All the patients were followed up three to four times in 18\u00a0months (12\u201324\u00a0months) on average, and the UCLA rating results showed that there were 17 excellent cases (68%), five good cases (20%), and three fair cases (12%). The CC\u2010Dist values after the surgery reduced to 9.7\u2009\u00b1\u20090.7\u2009mm, which was significantly (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) lower compared to that before the surgery (15.8\u2009\u00b1\u20091.6\u2009mm). Most (88%) of the cases showed almost normal joint function and good anatomical arrangement of the acromioclavicular joint, without any secondary dislocation, and for them, 12\u2009\u00b1\u20092\u2009weeks on average were needed to regain the normal function of shoulder joint movement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Due to the stable fixation, fewer complications, and satisfactory therapeutic effect with great clinical value, the combination of AO CHP and CC ligament transposition is expected to be used for treating Rockwood III\u2010V dislocation of AC joint.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13197","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T02:21:15Z","timestamp":1644459675000},"page":"613-620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Combination of Clavicular Hook Plate with Coracoacromial Ligament Transposition in Treatment of Acromioclavicular Joint Dislocation"],"prefix":"10.1111","volume":"14","author":[{"given":"Aikebaier","family":"Tuxun","sequence":"first","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Kashgar Prefecture  Kashgar China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajimu","family":"Keremu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Kashgar Prefecture  Kashgar China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pazila","family":"Aila","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Kashgar Prefecture  Kashgar China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maimaitiaili","family":"Abulikemu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Kashgar Prefecture  Kashgar China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zengru","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Center The First Affiliated Hospital of Xinjiang Medical University  Urumqi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8801-1772","authenticated-orcid":false,"given":"Palati","family":"Ababokeli","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Center The First Affiliated Hospital of Xinjiang Medical University  Urumqi China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-012-1053-0"},{"key":"e_1_2_6_3_1","first-page":"111","article-title":"Acromioclavicular separations: useful and practical classification for treatment","volume":"28","author":"Tossy JD","year":"1963","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2014.09.003"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.10.030"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509355645"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.12669\/pjms.304.5269"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.12671\/jkfs.2017.30.1.16"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511399379"},{"key":"e_1_2_6_10_1","first-page":"283","article-title":"Conjoined tendon and coracoacromial ligament transfer in the treatment of RockwoodIII acromioclavicular joint dislocation: anatomical and clinical validation","volume":"164","author":"Wang ZZ","year":"2015","journal-title":"Chin J Tissue Eng Res"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668080-00002"},{"key":"e_1_2_6_12_1","first-page":"205","article-title":"Conservative or surgical treatment of acromioclavicular dislocation. 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