Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis

Abstract This study compared the results of the minimally invasive coracoclavicular (CC) fixation with a single TightRope (MITR) procedure and the hook plate (HP) procedure for acute acromioclavicular (AC) joint dislocation treatment. Sixteen patients with a mean age of 44.9 ± 11 years were treated...

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Autores principales:	Guangsi Shen, Shengxuan Sun, Chengyang Tang, Ye Xie, Liubing Li, Wei Xu, Youjia Xu, Haibin Zhou
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/949887a423964e45a806773e0fe993c8
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spelling	oai:doaj.org-article:949887a423964e45a806773e0fe993c82021-12-02T18:24:53ZComparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis10.1038/s41598-021-90989-82045-2322https://doaj.org/article/949887a423964e45a806773e0fe993c82021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90989-8https://doaj.org/toc/2045-2322Abstract This study compared the results of the minimally invasive coracoclavicular (CC) fixation with a single TightRope (MITR) procedure and the hook plate (HP) procedure for acute acromioclavicular (AC) joint dislocation treatment. Sixteen patients with a mean age of 44.9 ± 11 years were treated with the MITR procedure. Nineteen patients with a mean age of 40.2 ± 8.7 years were treated using the HP procedure. Clinical outcomes were evaluated with the Visual Analog Scale (VAS) for pain, Constant–Murley Score (CMS), and University of California at Los Angeles (UCLA) Shoulder score. Vertical displacement of the clavicle with reference to the height of the acromion was measured in standard anteroposterior radiographs. The mean follow-up was 27 months in the MITR group and 30 months in the HP group. No statistically significant differences were found between the MITR group and the HR group in terms of VAS score (0.4 ± 0.6 vs 0.7 ± 0.6, P = 0.138), UCLA Shoulder score (33.9 ± 2.5 vs 33.7 ± 1.5, P = 0.843), or CMS (95.7 ± 7.3 vs 93.7 ± 6.6, P = 0.400). No redislocation was identified in the HP group, while redislocation occurred in 1 of 16 (6.3%) patients in the MITR group. One patient in the HP group (5.3%) had acromial osteolysis, while no acromial osteolysis was found in the MITR group. No other adverse events, such as infections, tunnel widening, fractures, or implant-related complications, were observed. Both procedures provided satisfactory results. The HP procedure provided better reduction, while the MITR procedure provided a slightly lower tendency of pain. Long-term follow-up is needed to investigate the clinical outcomes and radiological outcomes of both groups.Guangsi ShenShengxuan SunChengyang TangYe XieLiubing LiWei XuYoujia XuHaibin ZhouNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Guangsi Shen Shengxuan Sun Chengyang Tang Ye Xie Liubing Li Wei Xu Youjia Xu Haibin Zhou Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
description	Abstract This study compared the results of the minimally invasive coracoclavicular (CC) fixation with a single TightRope (MITR) procedure and the hook plate (HP) procedure for acute acromioclavicular (AC) joint dislocation treatment. Sixteen patients with a mean age of 44.9 ± 11 years were treated with the MITR procedure. Nineteen patients with a mean age of 40.2 ± 8.7 years were treated using the HP procedure. Clinical outcomes were evaluated with the Visual Analog Scale (VAS) for pain, Constant–Murley Score (CMS), and University of California at Los Angeles (UCLA) Shoulder score. Vertical displacement of the clavicle with reference to the height of the acromion was measured in standard anteroposterior radiographs. The mean follow-up was 27 months in the MITR group and 30 months in the HP group. No statistically significant differences were found between the MITR group and the HR group in terms of VAS score (0.4 ± 0.6 vs 0.7 ± 0.6, P = 0.138), UCLA Shoulder score (33.9 ± 2.5 vs 33.7 ± 1.5, P = 0.843), or CMS (95.7 ± 7.3 vs 93.7 ± 6.6, P = 0.400). No redislocation was identified in the HP group, while redislocation occurred in 1 of 16 (6.3%) patients in the MITR group. One patient in the HP group (5.3%) had acromial osteolysis, while no acromial osteolysis was found in the MITR group. No other adverse events, such as infections, tunnel widening, fractures, or implant-related complications, were observed. Both procedures provided satisfactory results. The HP procedure provided better reduction, while the MITR procedure provided a slightly lower tendency of pain. Long-term follow-up is needed to investigate the clinical outcomes and radiological outcomes of both groups.
format	article
author	Guangsi Shen Shengxuan Sun Chengyang Tang Ye Xie Liubing Li Wei Xu Youjia Xu Haibin Zhou
author_facet	Guangsi Shen Shengxuan Sun Chengyang Tang Ye Xie Liubing Li Wei Xu Youjia Xu Haibin Zhou
author_sort	Guangsi Shen
title	Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
title_short	Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
title_full	Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
title_fullStr	Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
title_full_unstemmed	Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
title_sort	comparison of the tightrope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/949887a423964e45a806773e0fe993c8
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Comparison of the TightRope system versus hook plate in acute acromioclavicular joint dislocations: a retrospective analysis

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