Villagrán-Luján Manuel Alejandro, Alarcon-Mendoza Alejandro, Perez-Gutierrez Edgar Azael, Gutierrez-Moreno Manuel Alberto, Portillo-Ortiz Nadia Karina, Berumen-Nafarrate Edmundo
Orthopedic Surgeon, Star Medica Chihuahua Hospital, Perif. de la Juventud 6103, Fracc. El Saucito, Chihuahua, 31110, Chihuahua, Mexico.
Researcher, Faculty of Medicine and Biomedical Sciences, University Autonomous of Chihuahua, (UACH), Chihuahua, Chihuahua, Mexico.
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2025 May 10;42:8-14. doi: 10.1016/j.asmart.2025.04.001. eCollection 2025 Oct.
This study aims to compare the clinical and radiographic outcomes of the tight-rope system versus internal fixation with a hook plate for treating grade III-VI acute acromioclavicular dislocation.
Relevant studies were identified by searching PubMed, Cochrane, and Google Scholar, from January 2017 to December 2023. The primary focus of the study revolved around evaluating various factors such as the Constant Score, University of California Los Angeles (UCLA) Shoulder Score, Visual Analogue Scale (VAS), coracoclavicular distance (CCD), and incidences of complications. The analysis involved determining the weighted mean difference (WMD) along with its corresponding 95 % confidence intervals (95 % CIs), or risk ratios (RR) with 95 % CIs to quantify the collected data.
Eight studies comprising 484 participants were included. Significant differences were observed in the Constant-Murley score between groups. However, no disparities were found in UCLA scores, VAS scores, or CCD improvement. Subgroup analyses also yielded consistent results.
Both treatment modalities demonstrated similar clinical and radiographic efficacy in alleviating pain, enhancing acromioclavicular joint function, and correcting coracoclavicular distance. Nevertheless, the TightRope system exhibited additional advantages, including reduced reoperation rates and lower risk of subacromial distal clavicle osteolysis.
本研究旨在比较使用TightRope系统与钩钢板内固定治疗Ⅲ - Ⅵ级急性肩锁关节脱位的临床和影像学结果。
通过检索PubMed、Cochrane和谷歌学术，确定2017年1月至2023年12月的相关研究。该研究的主要重点围绕评估各种因素，如Constant评分、加利福尼亚大学洛杉矶分校（UCLA）肩部评分、视觉模拟量表（VAS）、喙锁间距（CCD）以及并发症发生率。分析包括确定加权平均差（WMD）及其相应的95%置信区间（95%CI），或95%CI的风险比（RR），以量化收集的数据。
纳入八项研究，共484名参与者。两组之间在Constant - Murley评分上观察到显著差异。然而，在UCLA评分、VAS评分或CCD改善方面未发现差异。亚组分析也得出了一致的结果。
两种治疗方式在减轻疼痛、增强肩锁关节功能和纠正喙锁间距方面均显示出相似的临床和影像学疗效。然而，TightRope系统表现出额外的优势，包括降低再次手术率和肩峰下远端锁骨骨溶解的风险较低。
