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Digital Technology Combined with 3D Printing to Evaluate the Matching Performance of AO Clavicular Hook Plates

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background

AO clavicular hook plates have been widely used for treating acromioclavicular (AC) joint dislocation and distal clavicle fractures. Many complications have been reported, and many patients have complained about the discomfort of the plate. However, no study on the impact of clavicular hook plates in AC joint 3D printing models has been reported.

Objective

To evaluate the matching performance of hook plates with different hook depths when they were implanted in 3D printing models of normal Chinese AC joints and to propose a further design to achieve a better match.

Methods

AO clavicular hook plates with two different hook depths of 15 mm and 18 mm were implanted in 3D printing models of forty Chinese normal AC joints. The angle between the distal clavicle and plate (CPA) and the drop between acromion and distal clavicle (ACD) of normal AC joints with and without plates were measured.

Results

Mismatch was found when the hook plates were implanted, with an average CPA of 18.8 ± 5.1° with the 15-mm hook plate and 10.2 ± 4.9° with the 18-mm hook plate. To eliminate the CPA, the ACD decreased by 6.3 ± 1.1 mm with the 15-mm hook plate and 2.9 ± 0.9 mm with the 18-mm hook plate.

Conclusions

The results revealed that AO clavicular hook plates with different hook depths were very likely to result in over-reduction of the AC joint. It is necessary to bend the hook angle to fit the patient’s AC joint to achieve accurate reduction.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

Abbreviations

AC:

Acromioclavicular

CPA:

Angle between clavicle and plate

ORIF:

Open reduction and internal fixation

ACD:

Drop between the distal clavicle and acromion

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Acknowledgements

We would like to thank the Central Laboratory of the First Affiliated Hospital of Soochow University for the technical guidance.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Author notes

  1. Xuhua Wu and Gang Wang are co-first authors.

Authors and Affiliations

  1. Department of Orthopedics, The First Affiliated Hospital of Soochow University, No.899, Pinghai Road, Soochow, 215006, China

    Xuhua Wu, Gang Wang, Minfeng Gan, Gen Wen & Huilin Yang

  2. Department of Orthopedics, Minhang Hospital, Fudan University, No.170, Xinsong Road, Shanghai, 201199, China

    Qingquan Xia, Ke Rong & Xiaofan Yin

Authors
  1. Xuhua Wu
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  2. Gang Wang
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  3. Qingquan Xia
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  4. Ke Rong
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  5. Minfeng Gan
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  6. Gen Wen
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  7. Xiaofan Yin
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  8. Huilin Yang
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Contributions

XW conceived the study, and XW and GW participated in its design and coordination. QX and KR performed the operations. XW, XY, and GW analyzed the data and drafted the manuscript. All authors interpreted the data and participated in drafting the text and tables. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Huilin Yang.

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Conflict of interest

The authors declare that they have no competing interests.

Ethical standard statement

The Ethics Committee of the First Affiliated Hospital of Soochow University approved this study.

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Wu, X., Wang, G., Xia, Q. et al. Digital Technology Combined with 3D Printing to Evaluate the Matching Performance of AO Clavicular Hook Plates. JOIO 54, 141–147 (2020). https://doi.org/10.1007/s43465-019-00034-0

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  • DOI: https://doi.org/10.1007/s43465-019-00034-0

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