Meta-analysis of the Efficacy of TightRope and Clavicular Hook Plate in the Treatment of Acromioclavicular Dislocation in China
Objective To investigate the effect of TightRope and clavicular hook plate in the treatment of acromioclavicular dislocation.Methods The Cochrane library,PubMed,CNKI,VIP and Wanfang databases were searched for all Chinese authors'literature on TightRope and clavicular hook plate in the treatment of acromioclavicular joint dislocation.The retrieval time was from the establishment of the database to May 2023.The literature was screened according to the inclusion and exclusion criteria,and the data were extracted.After analysis,the literature that met the requirements was screened out and rigorous quality assessment was performed.All results were analyzed by RevMan 5.4 software.Results ① A total of 27 literatures were included,with a total of 1450 cases,including 665 cases in the TightRope group and 785 cases in the clavicular hook plate group.②The results showed that the TightRope group was superior to the clavicular hook plate group in terms of postoperative excellent and good rate,intraoperative blood loss,hospitalization time,incision length,postoperative VAS score,postoperative Constant-Murley score,postoperative complications and postoperative CCD,butt here was no significant difference in operation time,hospitalization cost and postoperative ACD between the two groups.Conclusion Compared with clavicular hook plate,TightRope can play an effective role in internal fixation,so that most patients can obtain good surgical results.At the same time,this method can reduce the incidence of complications such as subacromial impingement syndrome,postoperative internal fixation failure,and postoperative chronic pain.It can enable patients to carry out rehabilitation training as soon as possible and recover well after surgery.However,in the process of reduction,it is easy to cause coracoid fracture due to excessive traction tension,and the long length of the loop will make the acromioclavicular joint dislocation unable to be completely reduced.
万方数据
维普
