Delayed Removal of Clavicular Hook Plates; The Effect on Complications and Functional Outcome

Nathan Michael Campbell, Ihab Hujazi, Jeremy Viner, Hans Marynissen


This study aimed to determine whether leaving a clavicular hook plate in-situ for longer than six months is associated with a greater complication rate and reduced function compared to when removed within six months as recommended by manufacturer. Patients treated with a hook plate at our institute between January 2005 and October 2015 were categorised into two groups: removed within six months (group A); removed after six months (group B). Complications, ASES and SST score were compared between the groups. Fifty-two patients were identified with 30 patients in group A and 22 patients in group B. There was no significant difference between the groups in the outcome measures obtained from ASES or SST (p = 0.52; p = 0.33) or the complication rate (p = 0.83). Our study suggests that there is no difference between shoulder function and complication rate when the hook plate was removed after six months compared to when removed within six months.


Trauma; Clavicular fracture; ACJ dislocation; Hook plate

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