SynthesisOrthopaedic surgery2020
TightRope vs Clavicular Hook Plate for Rockwood III-V Acromioclavicular Dislocations: A Meta-Analysis.
Synthesis in Orthopaedic surgery, 2020. 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
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.
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.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Clinical outcomes for grades III-V acromioclavicular dislocations favor double-button fixation compared to clavicle hook plate fixation: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- 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
- Endobutton combined with reinforced anchor effectively treated Tossy III acromioclavicular joint dislocation.Acta orthopaedica et traumatologica turcica · 2026Article
- Article
- Comparable outcomes of arthroscopic and mini-open tightrope fixation for acute acromioclavicular joint dislocations.BMC surgery · 2025Article
- Comparative meta-analysis of TightRope vs. hook plate for acromioclavicular joint dislocation.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Review
- Cutting Through Time: A Surgical Comparison of Bosworth, LARS™, and TightRopeJournal of functional morphology and kinesiology · 2025Article
- Comparison of the arthroscopic and open surgery for the treatment of acute high-grade acromioclavicular joint dislocation using suture button: a systematic review and meta-analysis.EFORT open reviews · 2025Article
- [Comparative study on effectiveness of clavicular hook plate fixation in treatment of acromioclavicular joint dislocation and distal clavicle fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Tightrope vs. hook plate fixation for acute acromioclavicular joint dislocation: a systematic review and meta-analysis.JSES reviews, reports, and techniques · 2025Review
- Comparison of endobutton and tendon graft techniques in acromioclavicular joint dislocation: Early treatment yields better outcomes.Medicine · 2025Article
- Surgical treatment of acute high-grade acromioclavicular joint dislocations.Journal of experimental orthopaedics · 2025Review
- Arthroscopic-assisted removal of broken distal hook fragment that migrated to the acromion in a patient who underwent hook plate fixation due to acromioclavicular joint dislocation: a case report and literature review.JSES international · 2024Article
- Surgical treatment of acromioclavicular joint dislocation of Rockwood III/IV: a retrospective study on clavicular hook plate versus arthroscopic TightRope loop titanium button.BMC musculoskeletal disorders · 2024Article
- 3D C-arm navigated acromioclavicular joint stabilization.Archives of orthopaedic and trauma surgery · 2024Article
- Management of Acromioclavicular Injuries - Current Concepts.Orthopedic research and reviews · 2023Review
- Clavicular hook plate for acute high-grade acromioclavicular dislocation involving Rockwood type V: clinical and radiological outcomes and complications evaluation.International orthopaedics · 2022Article
- 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
- A modified single-endobutton technique combined with nice knot for treatment of Rockwood type III or V acromioclavicular joint dislocation.BMC musculoskeletal disorders · 2022Article
- Acromioclavicular Joint Reconstruction with Recessed Clavicular Implant Technique Guide.Arthroscopy techniques · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo 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.
methodsRelevant 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.
resultsFour 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.
conclusionBoth TightRope® and hook plate techniques offered effective outcomes in relieving the pain of dislocation and improving function of ACJ. However, TightRope® fixation showed an advantage over hook plate in terms of postoperative pain. Further larger-scale RCTs are needed to verify our findings.
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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.