SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2016
Comparison of surgical outcomes between fixation with hook plate and loop suspensory fixation for acute unstable acromioclavicular joint dislocation: a systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Comparison of Effectiveness and Safety in Treating Acute Acromioclavicular Joint Dislocation with Five Different Surgical Procedures: A Systematic Review and Network Meta-Analysis.Orthopaedic surgery · 2023Pooled it
- TightRope vs Clavicular Hook Plate for Rockwood III-V Acromioclavicular Dislocations: A Meta-Analysis.Orthopaedic surgery · 2020Pooled it
- Comparable outcomes of arthroscopic and mini-open tightrope fixation for acute acromioclavicular joint dislocations.BMC surgery · 2025Article
- Is Autograft Reconstruction Successful in the Treatment of Chronic Acromioclavicular Separation?Indian journal of orthopaedics · 2025Article
- Combined Repair and Reconstruction of Coracoclavicular and Acromioclavicular Ligaments for Acute and Chronic AC Joint Dislocations: A Technical Note and Prospective Case Series.Journal of clinical medicine · 2025Article
- Surgical treatment of acute high-grade acromioclavicular joint dislocations.Journal of experimental orthopaedics · 2025Review
- 3D C-arm navigated acromioclavicular joint stabilization.Archives of orthopaedic and trauma surgery · 2024Article
- Open Double-Button Technique is Superior to Hook Plate in the Treatment of Acute Rockwood Type III/V Acromioclavicular Dislocations.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Clavicular Tunnel Complications after Coracoclavicular Reconstruction in Acute Acromioclavicular Dislocation: Coracoid Loop versus Coracoid Tunnel Fixation.Clinics in orthopedic surgery · 2022Article
- Long-term stability of coracoclavicular suture fixation for acute acromioclavicular joint separation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Nonanatomic and Suture-Based Coracoclavicular Joint Stabilization Techniques Provide Adequate Stability at a Lower Cost of Implants in Biomechanical Studies When Compared With Anatomic Techniques: A Systematic Review and Meta-Analysis.Arthroscopy, sports medicine, and rehabilitation · 2021Review
- Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate.Journal of orthopaedic surgery and research · 2020Article
- Surgical treatment of acute Rockwood III acromioclavicular dislocations-Comparative study between two flip-button techniques.Scientific reports · 2020Article
- Modified Weaver-Dunn Procedure for Type 3 Acromioclavicular Joint Dislocation: Functional and Radiological Outcomes.Orthopaedic journal of sports medicine · 2020Article
- Acromion Clavicular Joint Reconstruction with LARS Ligament in Acute Dislocation.The archives of bone and joint surgery · 2019Article
- Fifteen-degree clavicular hook plate achieves better clinical outcomes in the treatment of acromioclavicular joint dislocation.The Journal of international medical research · 2018Article
- Short-term outcomes of arthroscopic TightRopeEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Single coracoclavicular suture fixation with Mersilene tape versus hook plate in the treatment of acute type V acromioclavicular dislocation: a retrospective analysis.Journal of orthopaedic surgery and research · 2018Article
- New insights in the treatment of acromioclavicular separation.World journal of orthopedics · 2017Review
- Biomechanical analysis of clavicle hook plate implantation with different hook angles in the acromioclavicular joint.International orthopaedics · 2017Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Treatment of acute (≤4 weeks) high-grade acromioclavicular (AC) joint separation (types III-VI) is still controversial. Currently, the two modern techniques that are widely used include hook plate fixation and coracoclavicular (CC) ligament fixation using a suspensory loop device (tightrope, synthetic ligament or absorbable polydioxansulfate sling). These techniques are both reported to have superior clinical outcomes. This systematic review and meta-analysis aimed to assess and compare clinical outcomes of hook plate fixation versus fixation of the CC ligament using a loop suspensory fixation (LSF) device for the treatment of AC joint injury. These clinical outcomes consist of the Constant-Murley score (CMS), pain visual analog score (VAS) and postoperative complications. Relevant comparative studies were identified from MEDLINE and Scopus from inception to October 5, 2015. Five of 571 studies were eligible; 5, 3, 3, and 5 studies were included in the pooling of CMS, pain VAS, surgical time and postoperative complications, respectively. The unstandardized mean difference (UMD) of the CMS for LSF was 4.43 [95 % confidence interval (CI) 0.73, 8.14], which was statistically significantly higher than the CMS in hook plate fixation. For VAS, the UMD was 0.02 points (95 % CI -3.54, 3.73) higher than LSF but without statistical significance. The surgical time of LSF was 16.21 min (95 % CI 6.27, 26.15) statistically significantly higher than hook plate fixation. LSF had a lower chance of postoperative complications by 0.62 units (95 % CI 0.30, 1.32) when compared to hook plate fixation, but this also was not statistically significant. In acute high-grade AC joint injuries, loop suspensory fixation had higher postoperative functional CMS and mean surgical time when compared to hook plate fixation. However, for postoperative VAS and complication rates, there were no statistically significant differences between groups.
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