Hamid Rahmatullah Bin Abd Razak1, Eng-Meng Nicholas Yeo2, William Yeo3, Tijauw-Tjoen Denny Lie2. 1. Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia Level 4, Singapore, 169865, Singapore. hamidrazak@gmail.com. 2. Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, Academia Level 4, Singapore, 169865, Singapore. 3. Orthopaedic Diagnostic Centre, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.
Abstract
AIM: The aim of this study was to compare the short-term outcomes of arthroscopic TightRope® fixation with that of hook plate fixation in patients with acute unstable acromioclavicular joint dislocations. PATIENTS AND METHODS: We conducted a prospective case-control study of twenty-six patients with an acute ACJ dislocation who underwent surgical repair with either an arthroscopic TightRope® fixation or a hook plate from 2013 to 2016. Clinical and radiological data were collected prospectively. Clinical outcomes were evaluated using the Constant Score, the University of California at Los Angeles (UCLA) Shoulder Score, Oxford Shoulder Score as well as the visual analogue scale. Radiological outcomes were assessed with the coracoclavicular distance (CCD). RESULTS: Sixteen patients underwent arthroscopic TightRope® fixation, while 10 patients underwent hook plate fixation. There were no significant differences in the preoperative variables except for the mean UCLA 4b infraspinatus score (TightRope® 2.8 vs. hook plate 3.8; p = 0.030). Duration of surgery was significantly longer in the TightRope® group. At 1 year post-operatively, the TightRope® group had a significantly better Constant Score and CCD with no complications. All patients with hook plate fixation had to undergo a second procedure for removal of implant, and 3 patients had complications. CONCLUSIONS: Arthroscopic TightRope® fixation is a good option for the treatment of acute unstable ACJ dislocations. It has better short-term clinical and radiological outcomes as well as lesser complications when compared to hook plate fixation. LEVEL OF EVIDENCE: Therapeutic, Level III.
AIM: The aim of this study was to compare the short-term outcomes of arthroscopic TightRope® fixation with that of hook plate fixation in patients with acute unstable acromioclavicular joint dislocations. PATIENTS AND METHODS: We conducted a prospective case-control study of twenty-six patients with an acute ACJ dislocation who underwent surgical repair with either an arthroscopic TightRope® fixation or a hook plate from 2013 to 2016. Clinical and radiological data were collected prospectively. Clinical outcomes were evaluated using the Constant Score, the University of California at Los Angeles (UCLA) Shoulder Score, Oxford Shoulder Score as well as the visual analogue scale. Radiological outcomes were assessed with the coracoclavicular distance (CCD). RESULTS: Sixteen patients underwent arthroscopic TightRope® fixation, while 10 patients underwent hook plate fixation. There were no significant differences in the preoperative variables except for the mean UCLA 4b infraspinatus score (TightRope® 2.8 vs. hook plate 3.8; p = 0.030). Duration of surgery was significantly longer in the TightRope® group. At 1 year post-operatively, the TightRope® group had a significantly better Constant Score and CCD with no complications. All patients with hook plate fixation had to undergo a second procedure for removal of implant, and 3 patients had complications. CONCLUSIONS: Arthroscopic TightRope® fixation is a good option for the treatment of acute unstable ACJ dislocations. It has better short-term clinical and radiological outcomes as well as lesser complications when compared to hook plate fixation. LEVEL OF EVIDENCE: Therapeutic, Level III.
Authors: Jakob V Nüchtern; Kay Sellenschloh; Nick Bishop; Sabrina Jauch; Daniel Briem; Michael Hoffmann; Wolfgang Lehmann; Klaus Pueschel; Michael M Morlock; Johannes M Rueger; Lars G Großterlinden Journal: Am J Sports Med Date: 2013-04-25 Impact factor: 6.202
Authors: G Ryan Rieser; Kenny Edwards; Gregory C Gould; Ronald J Markert; Tarun Goswami; L Joseph Rubino Journal: J Shoulder Elbow Surg Date: 2012-11-22 Impact factor: 3.019
Authors: Robert Breuer; Alexandra Unterrainer; Micha Komjati; Thomas M Tiefenboeck; Klemens Trieb; Christof Pirkl Journal: J Clin Med Date: 2019-10-15 Impact factor: 4.241