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Meta analysis of the treatment of dislocation of acromioclavicular joint by loop plate and clavicular hook plate |
HU Liekui1 PENG Liping2▲ LI Yuan1 LIAO Zhouwei2 CHEN Da3 MA Dujun2 |
1.The Fourth Clinical Medical College Affiliated to Guangzhou University of Chinese Medicine, Guangdong Province, Shenzhen 518033, China;
2.Shenzhen Chinese Traditional Medical Hospital Orthopedics, Guangdong Province, Shenzhen 518033, China;
3.Baoan Chinese Traditional Medical Hospital Orthopedics of Shenzhen, Guangdong Province, Shenzhen 518100, China |
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Abstract Objective To systematically evaluate the curative effect of Endobutton plate and clavicular hook plate(CHP) in the treatment of acromioclavicular joint dislocation. Methods The Cochrane Library, PubMed, CNKI and Wanfang, CBM databases were searched by computer (from the database establishment to November 2017). Two researchers independently screened literature, assessed the methodological quality of literature, and extracted data. Then Meta-analysis was performed with Review Manager 5.3, according to the treatment divided into Endobutton plate group and Clavicular hook plate group. Results In the end, 33 articles met the inclusion criteria, and a total of 1718 patients were included. Among them Endbutton plate group 825 cases, Clavicular hook place group 893 cases. The results of Meta analysis showed that Endobutton plate group were superior to Clavicular hook plate group in the shoulder-joint functional Constant-Murley score [WMD = 6.64, 95%CI (3.70, 9.57), P < 0.000 1], shoulder Karlsson classification [OR = 3.92, 95%CI (2.72,5.66), P < 0.000 01], shoulder mobility recovery [WMD = 13.85,95%CI (10.36,17.34), P < 0.000 1], intraoperative blood loss [WMD = 11.38, 95%CI (-18.22, -4.54), P = 0.001]. However, there was no significant difference between the two groups in the time of operation [WMD = 1.28, 95%CI (-4.38,6.94), P = 0.66]. Conclusion Compared with the internal fixation of clavicular hook plate in the treatment of acromioclavicular joint dislocation, the internal fixation with endobutton plate can better improve the function of shoulder joint, increase the activity of shoulder joint and reduce the intraoperative blood loss, which is an effective and safe operation the way.
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