Page 53 - ISAKOS 2021 Newsletter Volume 1

No. of Complications Other than
Study Nonunion
Hsu et al. (J 0 Shoulder Elbow
Surg, 2018)
12 (24.5%) (AC arthritis [5],
rotator cuff tear [2], peri-implant fracture [3], loss of reduction
[1], had implant malpositioning [1])
Treatment Method
No. of Patients
Mean Age (yr)
Mean Duration of Follow- up (mo)
Mean Functional Outcome Scores at Final Follow-up
No. of Patients with Nonunion
CURRENT CONCEPTS
No. of Patients Requiring Revision Surgery for Nonunion
Implant failure on clavicular side, revised (1), deep infection (1)
Frozen shoulder (1), deep infection (1)
Flinkkila et al. (Eur J Orthop Surg Traumatol, 2015)
Arthroscopic TightRope
21
39
32
Constant score, 93
1
0
Hook plate
19
45
62
Constant score, 89
1
0
Cow-hitch
CC loop with Mersilene tape
23
42
14
Constant score, 95
3 (13%)
0
Hook plate
49
48
*CC = coracoclavicular; AC = acromioclavicular; ASES = American Shoulder and Elbow Surgeons; UCLA =University of California Los Angeles; DASH = Disabilities of the Arm, Shoulder and Hand; TBW = tension band wire; SST = Simple Shoulder Test
13
Constant score, 87
4 (8%)
0
Singh et
al. (Orthop Traumatol Surg Res, 2019)
Hook plate
16
37
Median, 11
—
Not evaluated as patients with nonunion were excluded from study
10 (63%) (hardware irritation requiring plate removal)
Interfragmentary locking plate
37
16
—
6 (16%) (hardware irritation requiring plate removal)
CC stabilization with sutures
21
21
—
Adhesive capsulitis (3)
ISAKOS NEWSLETTER 2021: VOLUME I 51