Evidence map›Paper›PMID 28236179›Full record

SynthesisJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2017

Post-operative outcomes and complications of suspensory loop fixation device versus hook plate in acute unstable acromioclavicular joint dislocation: a systematic review and meta-analysis.

Alisara Arirachakaran, Manusak Boonard, Peerapong Piyapittayanun, Wichan Kanchanatawan, Kornkit Chaijenkij, Akom Prommahachai, Jatupon Kongtharvonskul

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
5.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. Cutting Through Time: A Surgical Comparison of Bosworth, LARS™, and TightRopeJournal of functional morphology and kinesiology · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Surgical Advances in the Treatment of Acromioclavicular Joint Injury: A Comprehensive Review.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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 · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Alisara ArirachakaranOrthopedics Department, Police General Hospital, Bangkok, Thailand.
Manusak BoonardOrthopedics Department, Srinakarin Hospital, Khonkan, Thailand.
Peerapong PiyapittayanunOrthopedics Department, Police General Hospital, Bangkok, Thailand.
Wichan KanchanatawanOrthopedic Department, Lerdsin General Hospital, Bangkok, Thailand.
Kornkit ChaijenkijOrthopedics Department, College of Sports Science and Technology, Mahidol University, Bangkok, Thailand.
Akom PrommahachaiOrthopedic Department, Aek Udon International Hospital, Udontani, Thailand.
Jatupon KongtharvonskulSport and orthopedic center, Samitivej Hospital, Bangkok, Thailand. Jatupon_kong@hotmail.com.
Police General Hospital · THBangkok Hospital · THLerdsin Hospital · THMahidol University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of acute (≤3 weeks) acromioclavicular joint dislocation type III-VI is still controversial. Currently, the two modern techniques that are widely used are hook plate (HP) fixation and coracoclavicular ligament fixation using a suspensory loop device that consists of either a tightrope (single or double), endo-button (single or double), or synthetic ligament and absorbable polydioxansulfate sling. MATERIALS AND

methodsThis systematic review was conducted according to the PRISMA guidelines. Relevant studies that reported Constant-Murley score (CMS), Pain Visual Analog score (VAS) and postoperative complications of either technique were identified from Medline and Scopus from inception to 5 October 2015.

resultsSixteen studies were included for the analysis of HP fixation, and 25 studies were included for analysis of loop suspensory fixation (LSF). Pooling of mean CMS and VAS scores gave 90.35 (95% CI 87.16, 93.54), 1.51 (95% CI 0.73, 2) in the HP group, and 92.48 (95% CI 90.91, 94.05), 0.32 (95% CI 0, 0.64) in the suspensory loop devices group, respectively. The pooled unstandardized mean differences (UMD) scores of CMS and VAS in LSF were 2.13 (95% CI -1.43, 5.69) and -1.19 (95% CI -2.03, -0.35) when compared to hook plating. The pooled prevalence of LSF and hook plating were 0.08 (95% CI 0.06, 0.10) and 0.05 (95% CI 0.02, 0.08) scores. The chance of having complications in the LSF group was 1.69 (95% CI 1.07, 2.60), which was statistically significantly higher than in the HP group.

conclusionLSF have higher shoulder function scores (CMS) and lower postoperative pain when compared to HP fixation; however, there are higher complication rates with LSF when compared to hook plating. LEVEL OF EVIDENCE: IV.

Indexed as

Acromioclavicular JointBone PlatesHumansInternal FixatorsJoint DislocationsJoint InstabilityLigaments, ArticularOrthopedic ProceduresSuture AnchorsAC injuryEndobuttonHook plateLoop suspensory fixationSystematic reviewTightrope

Identifiers

PMID28236179
PMCPMC5685975
OpenAlexW2591050030

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.