SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Clinical outcomes for grades III-V acromioclavicular dislocations favor double-button fixation compared to clavicle hook plate fixation: a systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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
8 citing papers in PubMed.
- Clinical outcomes for acute grade III and V acromioclavicular dislocations using hook plates and double-button fixation with a two-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Observational
- Early clinical outcomes of standard and 3D-planned pre-bent hook plates versus suture-button fixation for acute Rockwood IIIB-V acromioclavicular dislocation with a Bigliani type II acromion: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- 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
- Two Scope Portals in Simple Acromioclavicular Joint Type III Injury.Arthroscopy techniques · 2025Article
- Combined coracoclavicular ligament and transacromial capsule reconstruction for chronic acromioclavicular joint instability: clinical and radiological outcomes.Acta orthopaedica et traumatologica turcica · 2025Article
- Acromioclavicular and sternoclavicular joint injuries in contact sports: a narrative review of conservative and surgical treatments.Annals of joint · 2025Review
- Functional reconstruction of chronic acromioclavicular joint separation using a double suture technique combined with semitendinosus autograft.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of this study was to perform a systematic review and meta-analysis of both randomized controlled and observational studies comparing double-button suture fixation to hook plate fixation for types III-IV acromioclavicular joint dislocation.
methodsSystematic review of Medline, Embase, Scopus, and Google Scholar, including all levels 1-3 studies from 2000 to 2022. Clinical outcome scores, range of motion, and complications were included. Risk of bias was assessed using the Cochrane Collaboration's ROB2 tool and ROBINs-I tool. MINORS and modified Coleman Methodology Score (CMS) were used to assess within study quality. The GRADE system was used to assess the overall quality of the body of evidence. Heterogeneity was assessed using χ
resultsFifteen studies were included. Three of the four included LOE II and eleven of the LOE III studies had a high risk of bias. Study quality was considered poor and fair for 67% by MINORS criteria and 93% for CMS criteria. The pooled estimate (SMD 0.662) for all clinical outcomes was statistically significant and in favor of button repair (p = 0.0001). The pooled estimate (SMD 0.662) for all VAS pain scores was statistically significant, again in favor of button repair (p = 0.001).
conclusionsThe results of this meta-analysis demonstrated significantly better outcomes of button repair for acute ACJ dislocations when compared to clavicle hook plate. Button repair is also associated with a 2.2 times lower risk for complications. However, risk of bias is high, and study quality within and between studies was low. These results, therefore, must be viewed with caution. LEVEL OF EVIDENCE: Level III; systematic review and meta-analysis.
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