Clinical Effectiveness of Various Surgical Reconstruction Modalities for Acute ACJ Separation: Protocol for a Systematic Review and Meta-Analysis

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
A. Hartland, S. Nayar, K. H. Teoh, M. Rashid
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引用次数: 0

Abstract

Introduction: Acute acromioclavicular joint separation is a common injury to the shoulder. Various surgical reconstruction methods exist when operative management is required, but the optimal procedure is not known. The aim of this systematic review and meta-analysis is to review the literature to assess the clinical effectiveness of various surgical reconstruction modalities used for acute ACJ separation. Methods: The study protocol was designed and registered prospectively on PROSPERO (International prospective register for systematic reviews). Literature search will include MEDLINE, EMBASE, PsycINFO, and The Cochrane Library electronic databases. Randomised controlled trials (RCTs) evaluating surgical procedures for acute acromioclavicular joint (ACJ) separation will be included. Our primary outcome is any functional patient-reported outcome measure related to the shoulder. Secondary outcomes may include radiological measurements, objective measurements of strength testing, range of motion, other patient-reported outcome measures not specific to the shoulder such as the Visual-Analog Scale (VAS) for pain, timelines for return to sport or work, and rate of complications. Risk of bias will be assessed within each study using The Cochrane Risk of Bias Tool 2.0 and the Jadad score. Inconsistency and bias across included studies will be assessed statistically. Comparable outcome data will be pooled and analysed quantitatively or qualitatively as appropriate. Ethics and dissemination: This study did not require ethical clearance. We plan to publish this systematic review and meta-analysis in a peer-reviewed journal and present the results at various national and international conferences. Highlights There is currently variation in surgical synthetic ligament reconstruction techniques for acute acromioclavicular separation, with no clear consensus established. This systematic review evaluates the clinical effectiveness of various surgical reconstruction modalities used for acute ACJ separation. Our primary outcome is any functional patient-reported outcome measure related to the shoulder.
不同手术重建方式治疗急性ACJ分离的临床效果:系统回顾和荟萃分析方案
摘要急性肩锁关节分离是一种常见的肩部损伤。当需要手术治疗时,存在各种手术重建方法,但最佳程序尚不清楚。本系统综述和荟萃分析的目的是回顾文献,以评估用于急性ACJ分离的各种手术重建方式的临床有效性。方法:设计研究方案,并在PROSPERO(国际前瞻性系统评价注册系统)上进行前瞻性注册。文献检索将包括MEDLINE, EMBASE, PsycINFO和Cochrane图书馆的电子数据库。将纳入评估急性肩锁关节(ACJ)分离手术方法的随机对照试验(RCTs)。我们的主要终点是任何功能性患者报告的与肩部相关的终点测量。次要结果可能包括放射学测量、力量测试的客观测量、活动范围、其他患者报告的非特定于肩部的结果测量,如疼痛的视觉模拟量表(VAS)、恢复运动或工作的时间以及并发症的发生率。将使用Cochrane Risk of bias Tool 2.0和Jadad评分评估每项研究的偏倚风险。纳入研究的不一致性和偏倚将进行统计学评估。将汇集可比较的结果数据,并酌情进行定量或定性分析。伦理与传播:本研究不需要伦理许可。我们计划在同行评议的期刊上发表这一系统综述和荟萃分析,并在各种国内和国际会议上发表结果。目前对于急性肩锁分离的手术合成韧带重建技术存在差异,并没有明确的共识。本系统综述评估了用于急性ACJ分离的各种手术重建方式的临床效果。我们的主要终点是任何功能性患者报告的与肩部相关的终点测量。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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