LATE RESULTS OF SURGICAL-TREATMENT OF TOS SY-III ACROMIOCLAVICULAR JOINT SEPARATION USING BALSER HOOK PLATE

Various surgical procedures have been recommended for the treatment of complete acromioclavicular joint separations. The results have been s imilar in case reports by various authors. From 1984 to 1992, 35 patie nts were operated on for acromioclavicular joint separations (Tossy II I) in the Department of Surgery, Marien-Hospital, Dusseldorf, using Ba lser's hook plate. The postoperative morbidity rate was 14.3%. Follow- up examinations were performed on 30 patients (85.7%) with average fol low-up of 4.1 years, using a rating system that include subjective, ob jective, and roentgenographic criteria. Fifty percent of patients had no complaints, but residual dislocation was found in 36.7% of cases. W hile 26 patients (86.7%) were satisfied with the results of the operat ion, 30% demonstrated a fair result according to the scoring system. T he complaints and clinical findings showed no correlation with the X-r ay results, e.g. calcification or arthrosis, redislocations.