Clinical outcomes for grades III–V acromioclavicular dislocations favor double-button fixation compared to clavicle hook plate fixation : a systematic review and meta-analysis

dc.contributor.authorHohmann, Erik
dc.contributor.authorTetsworth, Kevin
dc.date.accessioned2024-06-07T12:36:38Z
dc.date.available2024-06-07T12:36:38Z
dc.date.issued2023-10
dc.description.abstractINTRODUCTION : The 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. METHODS : Systematic 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 χ2 and I2 statistics. RESULTS : Fifteen 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). CONCLUSIONS : The 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.en_US
dc.description.departmentOrthopaedic Surgeryen_US
dc.description.librarianmp2024en_US
dc.description.sdgSDG-03:Good heatlh and well-beingen_US
dc.description.sponsorshipOpen access funding provided by University of Pretoria.en_US
dc.description.urihttp://link.springer.com/journal/590en_US
dc.identifier.citationHohmann, E. & Tetsworth, K. 2023, '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, vol. 33, pp. 2831-2846. https://DOI.org/10.1007/s00590-023-03492-3.en_US
dc.identifier.issn1633-8065 (print)
dc.identifier.issn1432-1068 (online)
dc.identifier.other10.1007/s00590-023-03492-3
dc.identifier.urihttp://hdl.handle.net/2263/96343
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.rights© The Author(s) 2023. This article is licensed under a Creative Commons Attribution 4.0 International License.en_US
dc.subjectAcromioclavicular jointen_US
dc.subjectAcute dislocationen_US
dc.subjectClavicle hook plateen_US
dc.subjectDouble-button repairen_US
dc.subjectClinical outcomesen_US
dc.subjectSystematic reviewen_US
dc.subjectMeta-analysisen_US
dc.subjectSDG-03: Good health and well-beingen_US
dc.titleClinical outcomes for grades III–V acromioclavicular dislocations favor double-button fixation compared to clavicle hook plate fixation : a systematic review and meta-analysisen_US
dc.typeArticleen_US

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