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Related Experiment Video

Updated: Nov 27, 2025

Measurement of Dynamic Scapular Kinematics Using an Acromion Marker Cluster to Minimize Skin Movement Artifact
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[A COMPARISON OF RESULTS BETWEEN HOOK PLATE AND TIGHTROPE FOR ACUTE ACROMIOCLAVICULAR JOINT DISLOCATION].

I Grigorev1, F Lazko1, A Prizov1

  • 1Moscow City Clinical Hospital named after V.M. Buyanov; Peoples' Friendship University of Russia, Moscow, Russia.

Georgian Medical News
|December 3, 2020
PubMed
Summary
This summary is machine-generated.

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This study compared Hook Plate and TightRope surgical methods for acromioclavicular dislocation. TightRope fixation showed better functional outcomes and fewer complications, avoiding a second surgery.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Acromioclavicular (AC) joint dislocation is a common shoulder injury.
  • Surgical treatment for AC joint dislocation remains controversial, with various techniques available.

Purpose of the Study:

  • To compare the surgical outcomes of Hook Plate versus TightRope stabilization for acute acromioclavicular joint dislocations.
  • To evaluate functional recovery and complication rates between the two surgical methods.

Main Methods:

  • A comparative study involving 30 patients with acute Rockwood type III-VI acromioclavicular dislocations.
  • Patients were randomized into two groups: Hook Plate (n=15) and TightRope (n=15).
  • Functional outcomes were assessed using the Constant Score and radiography; pain severity and range of motion were also evaluated.

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Main Results:

  • The TightRope group demonstrated superior functional outcomes (Constant Score 81.4 vs. 78.5) and a higher rate of return to normal activities (70% vs. 40%).
  • The TightRope group also showed better active forward flexion (50% >150° vs. 30%).
  • The Hook Plate group required significantly more reoperations (14/15) for device removal, whereas the TightRope group had fewer complications and failures.

Conclusions:

  • Both Hook Plate and TightRope are effective for acute acromioclavicular joint dislocation.
  • TightRope fixation offers advantages including a lower complication rate and avoidance of secondary surgery.
  • The TightRope technique is recommended for its superior functional recovery and patient-reported outcomes.