Acromioclavicular Joint Dislocation: A Comparative Study of the Palmaris Longus Tendon Graft Reconstruction versus Clavicular Hook Plate Fixation

Aim of the Study: 1) To compare the Acromioclavicular joint dislocation treated by autograft tendon repair versus hook plate fixation. 2) Outcome in long term followup based on functional results. Materials and Methods: This is a prospective study carried out in department of orthopaedics P. M. C. H. Patna from May 2015-April 2018 on a subset of 10 patients. Observation: Out of 10 patients (Grade 3: 4; Grade 4: 4; Grade 5: 2) of Acromioclavicular joint dislocations, 5 patients were treated by palmaris longus autograft for the coracoclavicular ligament repair and 5 were treated by clavicular hook plate patients were followed up till 1 year postoperatively. Functional outcome in both the groups were same at the end of their follow up. One of the patient treated by clavicular hook plate had hardware prominence and another had clavicle instability in whom tendon autograft was used while rest has had no complications. Conclusion: In our study we have found out that there is no difference in the functional outcomes of the subset of the patients treated by tendon repair or hook plate for acromioclavicular joint dislocation.