TightRope <i>vs</i> Clavicular Hook Plate for Rockwood III–V Acromioclavicular Dislocations: A Meta‐Analysis

Pan, Xin; Lv, Rui-yan; Lv, Ming‐gang; Zhang, Daguang

doi:10.1111/os.12724

Cited by 27 publications

(32 citation statements)

References 46 publications

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“…The hook-plate is a useful and easy applicable device for the treatment of ACJ dislocations. Although the main concerns in the application of hook plates are subacromial impingement, acromial osteolysis or needing implant removal, there were no significant differences in complications between the two techniques (22,23).…”

Section: Discussionmentioning

confidence: 87%

Comparison of Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries

Atlı¹,

Çevi̇k²,

Aslan³

et al. 2021

acmr

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Background: This retrospective study aimed to compare the clinical and radiological results of clavicular hook plate fixation versus suture-button fixation of acromioclavicular joint (ACJ) dislocations.Methods: 21 patients are retrospectively evaluated in the present study whom diagnosed as type III-V ACJ dislocations and treated by two different surgical methods. The hook plate group comprised 9 patients to whom acromioclavicular fixation. The suture-button group comprised 12 patients to whom coracoclavicular fixation. All patients were evaluated by Constant Murley Score (CMS) and visual analogue score (VAS). Loss of reduction and radiological results were evaluated with the coracoclavicular distance (CCD). Results:The average follow-up was 31 months (range, 15-56 months). There was no significant difference between hook-plate and suture-button groups in terms of CMS. However, VAS in hook plate group better than suture-button group (p = 0.038). Suturebutton fixation adjusted the CCD more than hook plate fixation compared to the opposite shoulder (p = 0.482). Conclusions:There was no statistically significant difference between the hook plate and suture-button group in terms of the clinical outcomes. However, CCD in the suture-button group was better adjusted to the hook plate group. Suture-button fixation is a good option for the treatment of ACJ dislocations, as implant removal may be required in most cases in which the hook plate is applied.

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Section: Discussionmentioning

confidence: 87%

Comparison of Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries

Atlı¹,

Çevi̇k²,

Aslan³

et al. 2021

acmr

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“…The use of CC guides increased the accuracy of Tight-Rope placement and reduced the incidence of complications, such as fractures of the distal clavicle and the coracoid process, which are frequently reported complications in open and arthroscopic reconstruction methods. 4,8,15,25,26,31 Limitations First, the relatively small sample size and the retrospective design of the study may have affected the statistical results. Second, the DT system still could not restore the native CC ligaments anatomically and allow the ligaments to fully recover.…”

Section: Discussionmentioning

confidence: 99%

Comparison of single versus double TightRope system in the treatment of acute acromioclavicular joint dislocation

Gu¹,

Tan²,

Wang

et al. 2021

Journal of Shoulder and Elbow Surgery

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Background: Reconstruction of the coracoclavicular (CC) ligament using a single TightRope (ST) system has some complications. We attempted to use a double TightRope (DT) system to reduce complications and obtain the ideal therapeutic effect. Purpose: This investigation aimed to compare the ST and DT systems in terms of efficacy and safety in treating acromioclavicular (AC) joint dislocation. Methods: Sixty-six cases of acute AC joint dislocation between January 2013 and January 2018 were retrospectively reviewed. All patients were divided into 2 groups based on treatment with the ST or DT system. Patients were evaluated radiologically and clinically using the Disability of Arm, Shoulder, and Hand, Constant, and visual analog scale scores as clinical outcome measures at 1 day, 3 weeks, 6 weeks, 3 months, 6 months, 1 year, and 2 years after surgery. The CC distance and displacement ratio were assessed radiologically.Results: The mean follow-up period was 49 months. Satisfactory clinical outcomes were obtained after CC fixation in both groups. No intergroup difference was found regarding the visual analog scale (P ¼ .80), Disability of Arm, Shoulder, and Hand (P ¼ .42), or Constant score (P ¼ .28) at 2 years. However, there was a significant difference in the displacement ratio at 6 weeks (P < .0001), 3 months (P < .0001), 6 months (P < .0001), 1 year (P < .0001), and 2 years (P < .0001) postoperatively between the 2 groups. There were 3 complications in the ST group, including 1 case of secondary coracoid fracture, 1 case of AC joint arthrosis combined with ossification of the CC ligaments, and 1 case of clavicular erosion. All complications occurred in the ST group. Conclusions: Both surgical methods are effective in treating AC joint dislocation, but the DT system is more reliable for reduction maintenance.

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“…It combines the advantages of the Endobutton system and can be adjusted to the length of the coil as required. Studies [35,39] have shown that the Tightrope technique offers signi cant advantages in terms of stability and postoperative clinical outcomes. However, it is still at risk of acromion fracture [40].…”

Section: Discussionmentioning

confidence: 99%

A Modified Single-Endobutton Technique Combined with Nice Knot for Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

Han

Liu

et al. 2021

Preprint

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Purpose: Double-endobutton technique, as a widely accepted strategy for the treatment of acromioclavicular joint dislocation , is undergoing constant improvement. This study was to assess the clinical effect of a modified single-endobutton combined with nice knot in the fixation of Rockwood type III acromioclavicular joint dislocation.Methods: From January 2016 to January 2018, 16 adult patients (13 males and 3 females) with Rockwood type III acromioclavicular joint dislocation were treated with a modified single-endobutton technique combined with nice knot in our department. The age ranged from 18 to 64 years old with an average of 32.8 years old. Operative time and intraoperative blood loss were recorded, post-operative clinical outcomes and radiographic results were recorded and analyzed. Preoperative and last follow up scores in the Constant-Murley Scale, Neer score, Rating Scale of the American Shoulder and Elbow Surgeons and VAS scale and complications such as infection, re-dislocation, implant loosening, medical origin fracture and hardware pain were recorded and evaluated. Results: 16 patients were followed up for 6 to 18 months with an average of 10.3 months. The operative time was 50-90 minutes with an average of (62.5±3.10) min. The intraoperative blood loss was 30-100 ml, with an average of (55.0±4.28) ml. The complications, such as wound infection, internal fixation failure and fractures, were not found in these cases. According to Karlsson criteria, there were excellent in 14 cases, good in 2 cases at the final follow up. The mean VAS score of the patients was 5.88±0.26 preoperatively, compared with 0.19±0.14 at the final follow-up evaluation. The difference was statistically significant (P<0.01). The mean Constant score was 45.5±2.0 preoperatively, compared to 94.0±0.73 at the final follow-up evaluation. The difference was statistically significant (P<0.01). Conclusion: Nice knot provides a reliable fixation for the single-Endobutton technique in the treatment of acromioclavicular dislocations. The modified single-Endobutton technique combined with nice knot can achieve good clinical outcomes in treatment of Rockwood type III acromioclavicular joint dislocation.

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TightRope vs Clavicular Hook Plate for Rockwood III–V Acromioclavicular Dislocations: A Meta‐Analysis

Cited by 27 publications

References 46 publications

Comparison of Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries

Comparison of Suture-Button Versus Hook-Plate Fixation for Acromioclavicular Joint Injuries

Comparison of single versus double TightRope system in the treatment of acute acromioclavicular joint dislocation

A Modified Single-Endobutton Technique Combined with Nice Knot for Treatment of Rockwood Type III Acromioclavicular Joint Dislocation

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