Does coracoclavicular augmentation additional to hook plate fixation provide benefits in acute unstable acromioclavicular dislocation? A meta-analysis Article Swipe
Chih-yao Lee
,
Po‐Cheng Chen
,
Yingchun Liu
,
Yun-Che Tsai
,
Pei‐Hsi Chou
,
Yin‐Chih Fu
,
Wen‐Chih Liu
,
Jesse B. Jupiter
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1186/s12891-022-05142-x
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1186/s12891-022-05142-x
Background Acromioclavicular joint (ACJ) dislocation is a common shoulder injury. In treating acute unstable ACJ dislocation, a hook plate (HP) is a straightforward and popular option for ensuring proper reduction and rigid fixation while promoting AC and coracoclavicular (CC) ligament healing. Surgeons typically remove the HP to prevent subacromial impingement and acromial osteolysis; however, concerns about redislocation after implant removal remain. Therefore, additional CC augmentation may be helpful in combination with HP fixation. The aim of this meta-analysis is to compare the outcomes and complications of HP fixation with or without additional CC augmentation for acute unstable ACJ dislocation. Methods We searched the PubMed, EMBASE, and Web of Science databases for relevant case–control studies. The primary outcomes were patient-reported outcome measures; the secondary outcomes were pain measured using a visual analog scale (VAS), CC distance (CCD), and complications. Continuous data were assessed using weighted standardized mean differences (SMDs) with 95% confidence intervals (CIs), and dichotomous data were evaluated with Mantel–Haenszel odds ratio (ORs) with 95% CIs. Results We analyzed one randomized control trial and four case–control studies comparing HP fixation with or without CC augmentation. A total of 474 patients with Rockwood type III or V ACJ dislocation were included. We found no differences in Constant–Murley score (SMD, − 0.58, 95% CI − 1.41 to 0.26; P = 0.18), American Shoulder and Elbow Surgeons score (SMD, 0.21, 95% CI − 0.10 to 0.52; P = 0.19), University of California at Los Angeles shoulder rating scale score (SMD, − 0.02, 95% CI − 1.27 to 1.23; P = 0.97), or VAS pain score (SMD, 0.36, 95% CI − 0.16 to 0.88; P = 0.17) between groups. The CC augmentation group had lower odds of osteolysis (OR, 0.27, 95% CI 0.10 to 0.74; P = 0.01) and a shorter CCD (SMD, − 0.29, 95% CI − 0.57 to − 0.01; P = 0.04). Conclusion HP fixation with CC augmentation is preferable for acute unstable ACJ dislocations. Although CC augmentation did not provide additional benefits related to functional outcomes or pain, it resulted in greater reduction maintenance after implant removal and a 73% lower risk of acromial osteolysis. Trial registration PROSPERO ( CRD42021271118 ).
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12891-022-05142-x
- https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-022-05142-x
- OA Status
- gold
- Cited By
- 11
- References
- 51
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4214823116
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4214823116Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12891-022-05142-xDigital Object Identifier
- Title
-
Does coracoclavicular augmentation additional to hook plate fixation provide benefits in acute unstable acromioclavicular dislocation? A meta-analysisWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-03-04Full publication date if available
- Authors
-
Chih-yao Lee, Po‐Cheng Chen, Yingchun Liu, Yun-Che Tsai, Pei‐Hsi Chou, Yin‐Chih Fu, Wen‐Chih Liu, Jesse B. JupiterList of authors in order
- Landing page
-
https://doi.org/10.1186/s12891-022-05142-xPublisher landing page
- PDF URL
-
https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-022-05142-xDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/s12891-022-05142-xDirect OA link when available
- Concepts
-
Medicine, Acromioclavicular joint, Sports medicine, Visual analogue scale, Randomized controlled trial, Orthopedic surgery, Odds ratio, Confidence interval, Fixation (population genetics), Surgery, Joint dislocation, Elbow, Physical therapy, Internal medicine, Population, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
11Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2024: 2, 2023: 4, 2022: 1Per-year citation counts (last 5 years)
- References (count)
-
51Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.shoulder | 9, 243 |
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| institutions_distinct_count | 8 |
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