SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Biologic and synthetic ligament reconstructions achieve better functional scores compared to osteosynthesis in the treatment of acute acromioclavicular joint dislocation.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Does coracoclavicular augmentation additional to hook plate fixation provide benefits in acute unstable acromioclavicular dislocation? A meta-analysis.BMC musculoskeletal disorders · 2022Pooled it
- Tendon graft through the coracoid tunnel versus under the coracoid for coracoclavicular/acromioclavicular reconstruction shows no difference in radiographic or patient-reported outcomes.Archives of orthopaedic and trauma surgery · 2024Trial
- Anatomical reconstruction of coracoclavicular and acromioclavicular ligaments using an autologous tendon graft provides excellent outcomes in acute acromioclavicular joint dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Acromioclavicular Reconstruction Using the Lockdown Technique: A Case Series and Systematic Review.Journal of clinical medicine · 2025Review
- A Novel Anatomical Double Bundle Acromioclavicular Joint Reconstruction with Semi Tendinosus Graft-A Functional Outcome Assessment Study in a Tertiary Care Hospital Of Eastern India.Indian journal of orthopaedics · 2025Article
- No Short-Term Effects of Acromioclavicular Joint Augmentation in Acute Acromioclavicular Joint Stabilization Surgery: A Randomized Controlled Clinical Trial on 70 Patients.Journal of clinical medicine · 2025Article
- Double figure of eight technique using fiber tape for acute high-grade acromioclavicular joint dislocations - Reconstruction technique.Journal of clinical orthopaedics and trauma · 2024Review
- Assessment of Coracoclavicular Ligament Healing on MRI After Arthroscopic TightRope Fixation for Acute Acromioclavicular Joint Dislocation.Orthopaedic journal of sports medicine · 2023Article
- A Modified Endoscopic Technique with Three Incisions for Rockwood Types III and V Acromioclavicular Joint Dislocation.Orthopaedic surgery · 2023Article
- Management of Acromioclavicular Injuries - Current Concepts.Orthopedic research and reviews · 2023Review
- Bipolar clavicular dislocation treated with biological anatomical repair and reconstruction: A case report with a literature review of management options.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Review
- Arthroscopic Coracoclavicular Reconstruction Combined with Open Acromioclavicular Reconstruction Using Knot Hiding Clavicular Implants Is a Stable Solution.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Evolving concepts and consensus in challenging shoulder problems: a European perspective.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo systematically review the outcomes of surgical treatments of acute acromioclavicular joint dislocation.
methodsStudies were identified by electronic databases (Ovid, PubMed). All studies reporting functional and radiological outcomes of surgical treatments of acute acromioclavicular joint dislocations were included. Following data were extracted: authors and year, study design, level of evidence, number of patients, age, classification of acromioclavicular joint dislocation, time to surgery, surgical technique, follow-up, clinical and imaging outcomes, complications, and failures. Descriptive statistics was used, when a data pooling was not possible. Comparable outcomes were pooled to generate summary outcomes reported as frequency-weighted values. Quality appraisal was assessed through the MINORS checklist.
resultsOne hundred and thirty-three studies were included for a total of 4473 shoulders. Mean age of participants was 36.9 years. Mean follow-up was 42.06 months. Arthroscopy showed better ASES (p < 0.0001) and lower VAS pain score (p = 0.0249) compared to an open approach. Biologic and synthetic reconstructions demonstrated better results over osteosynthesis techniques. Biologic techniques showed overall better Constant (p = 0.0001) and DASH (p = 0.0215) scores, while synthetic reconstruction showed better UCLA score (p = 0.0001). Among suture buttons, triple button showed overall better results in Constant (p = 0.0001) and VAS (p = 0.0001) scores, while better results in DASH score (p = 0.0003) were achieved by 2 double button techniques. Overall, the level of evidence was low.
conclusionBiological and synthetic reconstructions achieved better functional scores compared to osteosynthesis. Among suture buttons, the triple button showed better functional performance. LEVEL OF EVIDENCE: IV.
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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.