Abstract:

BACKGROUND: A lot of reports focus on the treatment of acromioclavicular joint dislocations with many differences on the methods and implants. The methods for treatment of the acromioclavicular joint dislocations which used more often in clinic are acromioclavicular fixation and coracoclavicular fixation. There exists great controversy on which method is better.
OBJECTIVE: To compare the curative effects between acromioclavicular fixation and coracoclavicular fixation for acromioclavicular joint dislocations through Meta-analysis.
METHODS: Related randomized controlled trials on acromioclavicular fixation and coracoclavicular fixation for acromioclavicular joint dislocations were searched in PubMed database (1950-01/2011-10), EMBASE database (1966-01/2011-10), CNKI database (1979-01/2011-10), Wanfang database (1982-01/2011-10) and VIP database (1989-01/2011-10). The articles were collected according to the inclusion criteria and then compared. Heterogeneity analysis and Meta-analysis were performed using RevMan5.0 software, and then the forest graph was made.
RESULTS AND CONCLUSION: Nine articles involving 473 patients and 473 acromioclavicular joints were accepted in our Meta-analysis. There were no significant differences in curative effect score, strength of upper limbs, shoulder movement, re-dislocations rate between acromioclavicular fixation and coracoclavicular fixation. Therefore, the clinical treatment of acromioclavicular joint dislocation can not only use the acromioclavicular fixed or coracoclavicular fixation, doctors should choose the best method according to the patients' condition, hospital conditions and the surgery proficiency of the doctor.