TightRope vs Clavicular Hook Plate for Rockwood III-V Acromioclavicular Dislocations: A Meta-Analysis.

Orthopaedic Surgery
Xin PanDa-Guang Zhang

Abstract

To assess and compare the clinical outcomes and complications of TightRope® fixation vs hook plate fixation for the treatment of Rockwood III-VI Acromioclavicular joint (ACJ) dislocations. Relevant studies were identified by searching PubMed, Embase, and Web of Science databases, from their inception to 12 April, 2019. The main outcomes of interest included Constant Score, University of California Los Angeles (UCLA) Shoulder Score, Visual Analogue Scale (VAS), coracoclavicular distance (CCD), and complications. Weight mean difference (WMD) with 95% confidence intervals (95% CIs) or risk ratio (RR) with 95% CIs was used to calculate the data. Four studies with a total of 179 patients were included in this study. Compared with hook plate, TightRope® fixation was associated with a significantly less VAS score for pain (WMD = -0.69, 95% CI: -1.10, -0.27; P = 0.001). However, there were no significant differences between the two surgical techniques in terms of Constant Score (WMD = 6.12, 95% CI: -3.84, 16.08; P = 0.229), UCLA (WMD = 7.96, 95% CI: -5.76, 21.68; P = 0.256), CCD (WMD = 0.24, 95% CI: -0.67, 1.15; P = 0.602), and complication rate. Both TightRope® and hook plate techniques offered effective outcomes in relieving the pain...Continue Reading

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Citations

Apr 27, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael D Feldman

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