Tight Rope Research Articles

How does cruciate ligament rupture treatment affect range of motion in dogs?

This study aimed at evaluating the changes in passive range of motion (ROM) of the stifle joint associated with cranial cruciate ligament (CCL) rupture in dogs and assessing whether the surgical treatment carried out on the affected joints affected additional changes. A retrospective cohort study design was used. The clinical records of dogs treated with tibial tuberosity advancement (TTA), tibial plateau leveling osteotomy (TPLO) and tight rope (TR) were reviewed as were the extension angle (EA), flexion angle (FA) and lameness. The data recorded at T0, before surgery, were compared with the data at 1 month and 6 months post-surgery. The data were classified as normal or abnormal.The main results obtained one month after surgery indicated that dogs treated with TTA showed a significant worsening of flexion (the FA was abnormal in 69.6 % of dogs at T0 and 80.4 % at T1 with p = 0.0208). Dogs treated with TPLO achieved asignificant improvement in extension (the EA was normal in 16.7 % of dogs at T0 and in 33.3 % at T1 with p < 0.0001), and in flexion (the FA was normal in 23.8 % of dogs at T0 and 43.5 % at T6 with p = 0.0434). The dogs treated with TR showed a significant worsening of extension (the EA was abnormal in 68.8 % of dogs at T0 and in 81.3 % at T1 with p = 0.0024). Six months post-surgery, the ROM value was not normal in 100 % of the stifle joints; however, the lameness significantly improved with each procedure. This study confirmed the influence of surgical procedures on changes in ROM and provided useful indications for planning therapy to improve and speed up the postoperative rehabilitation process in dogs.

A Prospective Study on Fixation of Syndesmotic Ankle Injury: Tight Rope Versus Screw Fixation.

Background Syndesmotic injury can result in significant instability and long-term complications if not treated correctly. Traditional management has involved transyndesmotic screw fixation, but a newer technique, the tight rope system, has been developed to mitigate some of the issues related to screw fixation, such as hardware discomfort and the necessity for hardware removal. Methods In this randomized, prospective study, 32 patients with ankle injuries requiring syndesmotic fixation were equally divided into two groups: one receiving the tight rope system (n=16) and the other undergoing screw fixation (n=16). The patients were monitored for six months following surgery. The study measured outcomes such as time to weight-bearing, range of motion, pain levels, functional outcomes using the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Scale, and complication rates. Results Both groups had comparable demographic and injury profiles. The tight rope group achieved weight-bearing significantly earlier (6.19 ± 0.9 weeks vs. 7.13 ± 0.95 weeks, p=0.008) and had better functional outcomes at six months (87.5% excellent AOFAS scores vs. 37.5%, p=0.003) compared to the screw fixation group. The range of motion and pain scores were similar between the groups. Different complications were observed: screw breakage was more common in the screw fixation group, while the tight rope group experienced more laxity. Overall complication rates were similar. Conclusion Both techniques were effective in reducing pain and maintaining range of motion. However, the tight rope system allowed for earlier weight-bearing and better functional outcomes at six months. These results indicate that the tight rope system may provide certain advantages in treating syndesmotic injuries, although the choice of technique should be tailored to the specific injury and patient factors.

Tight rope diplomacy of India in the wake destabilized geopolitical scenario

Tight rope diplomacy of India in the wake destabilized geopolitical scenario

Experience in early minimally invasive fixation of pubic symphysis disruption with a system of transpedicular screws in patients with combined pelvic trauma (pilot study)

Introduction Challenges of treating the injuries of pubic symphysis in patients with combined pelvic injury require developing new techniques for stable minimally invasive osteosynthesis in the acute period of trauma.Purpose of the work was to assess the application of low invasive fixation of the pubic symphysis with a system of transpedicular screws in the patients with combined unstable pelvic injuries in the acute period of the traumatic disease.Materials and methods The results of treatment of 12 patients with polytrauma with unstable pelvic injury with rupture of the pubic symphysis who were treated at Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg, in the period from 2017 to 2023, were analyzed. All the patients underwent final minimally invasive fixation of the pubic symphysis with a system of transpedicular screws in the early period of the traumatic disease.Results The overall assessment of the results in 12 patients found no complications or technical errors during the installation of transpedicular screws. Control CT scans of the pelvis showed that osteosynthesis was stable in all patients, and the position of metal was correct in all. One patient from the study group died in the clinic from massive pulmonary embolism. The long-term results in 11 patients in the period from 6 months to 3 years after trauma were evaluated as excellent and good anatomical and functional results in 10 patients, one case had fair outcome.Discussion The use of bone plates to fix ruptures of the symphysis pubis leads to disruption of its physiological mobility, and the patient’s activity in the postoperative period can cause an implant fracture. Original dynamic plates and wire cerclage help avoid this complication; however, all these techniques involve significant surgical trauma and blood loss, as well as the risk of postoperative wound suppuration. Minimally invasive methods of fixation using cannulated screws, systems such as Endobutton, Tight Rope can reduce intraoperative trauma and the risk of complications (blood loss, suppuration); however, the procedure for their installation is quite complex and lengthy, and for greater stability, external fixation of the pelvic ring is often required. The proposed minimally invasive fixation of the pubic symphysis with a system of transpedicular screws avoids a lot of shortcomings and is sufficiently stable.Conclusion The method of minimally invasive fixation of the pubic symphysis with a system of transpedicular screws meets current requirements in the treatment of patients with polytrauma and unstable pelvic injury, and it may be successfully used in the acute period of trauma.

Walking the tight rope of DEI implementation: paradox mindset and emotional capabilities as preconditions for middle managers' success.

Walking the tight rope of DEI implementation: paradox mindset and emotional capabilities as preconditions for middle managers' success.

Risk Management: A Slow Walk on a Tight Rope …

Risk Management: A Slow Walk on a Tight Rope …

China’s rise and the United States’ response: implications for the global order and New Zealand/Aotearoa. Part II: The US response, emergence of a multi-polar order, and New Zealand/Aotearoa foreign policy-making

ABSTRACT China’s rise is reconfiguring the global order as it develops into the world’s second most powerful nation-state and becomes an increasingly serious threat to US global hegemony. In Part Two of this article, the US response to China’s rising economic, geopolitical, and military power is analysed with a focus on Obama’s ‘pivot towards Asia’, Trump’s tariffs on Chinese goods, and Biden’s comprehensive strategy to ‘out-compete’ China. These developments have important implications for Aotearoa as governments walk a tight rope between increasing economic dependence on China and traditional security, military, and diplomatic relationships with Australia, the UK, and the US. In contrast to realist analyses of New Zealand’s foreign policy responses, which are largely anti-China and advocate closer ties to the US, this article is equally critical of both imperialist powers, and argues for a shift towards non-alignment and neutrality in future conflicts.

Anatomic Medial Ulnar Collateral Ligament Reconstruction With Internal Brace Augmentation in Throwing Athletes

Background: Injury to the medial ulnar collateral ligament (MUCL) is a common setback experienced by many throwing athletes often requiring reconstruction with 12 to 18 months of rehabilitation. Current reconstructive techniques fail to anatomically restore the MUCL. This presentation demonstrates the “anatomic technique” for reconstruction of the MUCL supplemented by internal brace augmentation. Indications: Initial injuries of the MUCL can often be managed conservatively; however, many complete tears and those failing nonoperative management are frequently treated with MUCL reconstruction. Technique Description: After graft harvest, a 6-cm incision is created over the medial epicondyle to expose the sublime tubercle and medial epicondyle. Sutures are placed through the torn ligament which are used to formally repair the native ligament. A 4-mm socket is drilled in the MUCL origin of the medial epicondyle, and two 2-mm penetrating sockets are drilled toward the base of the 4-mm socket. The sutures in the native ligament are passed through the sockets and later tied over the bone bridge to complete the native ligament repair. A tight rope is shuttled through the medial epicondyle socket and assembled. The palmaris longus autograft and a suture tape are loaded onto the tightrope and reduced into the humeral socket. On the ulna, soft suture anchors are placed on either side of the sublime tubercle. The distal end of the graft is then sutured utilizing a FiberWire. The graft is secured to the sublime tubercle by tying down the previously placed suture anchors. The suture tapes and internal brace are loaded into a SwiveLock suture anchor, which is fixed distally along the sublime tubercle ridge creating an anatomic reconstruction. Then, the native ligament sutures and tight rope are re-tensioned and tied across the humeral bone bridge for final fixation. Results: In our cohort of 26 professional and amateur throwers, &gt;90% returned to play at the same level at a mean of 9.9 months postoperatively. Discussion/Conclusion: Anatomic reconstruction of the MUCL with internal bracing is a viable option for MUCL injuries and may allow expedited return to sport for most athletes. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.

Neuropharmacological and anxiolytic effects of extracts of Passiflora tripartita var. mollissima on mice

Anxiety and depression cause alterations in the physiology of an organism. Extracts from the leaves of several Passiflora species are traditionally used Peru and in many countries as anxiolytic and in treatment for inflammatory problems. This study aimed to determine the neuropharmacological effect of the ethanolic extract of Passiflora tripartita var. mollissima (Kunth) Holm-Niels. &amp; P.Jørg. and its anxiolytic effect on mouse (Mus musculus var. albinus). Anxiety was evaluated with the marble burying test and the depressant effect with the Irwin test (locomotor activity, base of support, wobbly gait, immobility, escape, ease of handling, muscular strength, tight rope, inclined plane, catatonia, nociceptive reflex and death). Doses of 100 mg/Kg/body weight and 200 mg/kg/body weight by intraperitoneal route (i.p.) significantly decreased anxiety levels (p&lt;0.05) in mice, and had a non-significant depressant effect in 11 of the 12 tests, showing a similar direction of correlation between diazepam and Passiflora extract effect. A greater anxiolytic and anti-depressant effects in mice was observed with the extract dose of 200 mg/kg/body weight with neuropharmacological manifestations found where no death was observed at any dose used.

Rational Transfusion in Clinical Practice: Walking the Tight Rope

Transfusion therapy has undergone a significant evolution from whole blood transfusions to highly specialized blood component therapy. There is enough evidence in the literature that estimates that half of the transfusions given to the patients were actually not required as their hemoglobin can be improved with the help of alternative methods. The introduction of patient blood management (PBM) marks a paradigm shift in clinical transfusion practice and anemia management, emphasizing a patient-centric approach. PBM strategies aim to preserve and improve the patient’s blood, thereby reducing the need for allogeneic blood transfusions. PBM strategies include treating anemia, correcting coagulopathy, and minimizing blood loss. Every healthcare facility should plan to implement PBM as a multidisciplinary and multi-professional program, requiring collaboration from clinicians, public health professionals, and hospital administration. Thus, PBM implementation requires a comprehensive business plan, evidence-based transfusion guidelines, education, and a clinical decision support system. Data acquisition, analysis, audits, and reports play a crucial role in continuously improving the healthcare system and enhancing patient safety.

Functional and Radiologic Results of Tight Rope Technique in Acute Rockwood Type 5 Acromioclavicular Separations

Amaç: Akut tip 5 akromioklavikular eklem çıkıklarında çift düğme implantı tekniğinin orta dönemde klinik, fonksi-yonel ve radyolojik sonuçlarını ortaya koymayı hedefledik. Materyal ve metod: Kliniğimizde Ocak 2019- Haziran 2021 tarihleri arasında akromiyoklaviküler eklem çıkığı nedeniyle çift düğme implantı tekniği kullanılarak cerrahi tedavi edilmiş hastalar geriye dönük olarak tarandı. Son poliklinik kontrollerinde hastaların omuz radyografilerinden etkilenmemiş omuzda korakoklaviküler mesafeleri ile çift düğme implantı tekniği uygulanan omuzdaki korakoklaviküler mesafeleri ölçüldü. Aynı zamanda hastaların omuz radyografileri incelenerek redüksiyon kaliteleri ve akromioklaviküler eklemin Kellgren-Lawrence sınıflama-sına göre osteoartrit durumu not edildi. Hastaların son poliklinik kontrollerinde; ağrı durumları Visual Analog Score, fonksiyonel durumları Constant-Murley omuz skorlama sistemi kullanılarak değerlendirildi. Bulgular: Çalışmaya 15’i erkek, 1’i kadın olmak üzere toplam 16 hasta dâhil edildi. Dâhil edilen hastaların yaş orta-laması 42,1 (19-66) idi. Ortalama takip süresi 28.0 (15-44) ay idi. Son poliklinik kontrolünde, etkilenmemiş omuzda ölçülen korakoklaviküler mesafe ortalama 7,7±1.0 mm , düğme implantı tekniği uygulanan omuzda ortalama kora-koklaviküler mesafe 8,4± 2.0 mm olarak ölçüldü. Redüksiyon kalitesi dağılımı; 1 hastada tip 4, 2 hastada tip 2, 1 hastada tip 3, 12 hastada ise tip 1 olarak görüldü. Hastalardan 1’inde evre 2 ve 2’sinde ise evre 3 olmak üzere toplam 3 hastada akromioklaviküler eklem osteoartriti gelişimi gözlenirken 13 hastada osteoartrit gelişimi gözlen-medi. Ameliyat sonrası son poliklinik kontrollerinde ortalama Visual analog ağrı skoru 1,3 (0-4), ortalama modifiye Constant skoru ise 86,1 (73-93) olarak ölçüldü. Sonuç: Akut tip 5 akromioklaviküler eklem çıkıklarında uygulanan çift düğme implantı tekniğinin başarılı ve güvenli bir cerrahi prosedürdür.

The Israel-Iran conflict: between Washington and Beijing

ABSTRACT Since its establishment in 1979, the Islamic Republic of Iran has been openly and vociferously committed to the destruction of the State of Israel. To thwart this genocidal goal – especially the lethal threat of Tehran’s dogged quest for nuclear weapons – Israel has heavily relied on the United States, its longstanding, foremost international ally. Over the past two decades, as its relations with China have greatly expanded, Israel has also sought to harness Beijing’s close and multifaceted ties with Tehran to the fight against a nuclear Iran – to no avail. With the burgeoning Israeli-Chinese relationship stirring recurrent frictions with Washington, especially due to the latter’s alarm over Beijing’s involvement in key infrastructure and hi-tech projects in Israel, Jerusalem has been forced to walk a tight rope between the two rival superpowers so as to maintain their maximum support without alienating either of them. This dilemma was resolved overnight after the invasion of southern Israel by the Iranian-backed Hamas terrorist organization (on 7 October 2023) and its massacre of some 1500 Israelis (fifteen times the 9/11 death toll in relative terms). With Beijing quickly siding with the Palestinians (and Iran), and President Biden throwing the US’ full support behind Israel, warning Tehran and its proxies off intervention and sending a large naval force to the eastern Mediterranean, it has transpired beyond shadow of a doubt who Israel’s real friend is and where its interests lie.

Coarctation Repair in an Adult Funambulist (Dombari)

Five to seven percent of all congenital cardiac disorders are caused by aortic coarctation. Funambulism or tight rope walking is a part of street circus acts earning livelihood for Dombari community, which requires utmost upper and lower limb strength and balance. Coarctation can be repaired surgically or with interventional approach. End-to-end anastomosis, subclavian flap aortoplasty, and extra-anatomic bypass grafts are a few surgical fixes. However, these approaches are not without risks involving the subclavian artery and spinal arteries thus putting limbs in jeopardy. Interventional procedures include balloon angioplasty and use of bare metal or covered stents but are associated with complications like repeated interventions or surgery, migration of stents compromising branches of aorta, thereby causing limb paresis or plegia, and are not very cost effective. The authors hereby discuss a cost-effective surgical management and spinal protection strategy for coarctation in a funambulist patient.

Neural precursor cell delivery induces acute post-ischemic cerebroprotection, but fails to promote long-term stroke recovery in hyperlipidemic mice due to mechanisms that include pro-inflammatory responses associated with brain hemorrhages

BackgroundThe intravenous delivery of adult neural precursor cells (NPC) has shown promising results in enabling cerebroprotection, brain tissue remodeling, and neurological recovery in young, healthy stroke mice. However, the translation of cell-based therapies to clinical settings has encountered challenges. It remained unclear if adult NPCs could induce brain tissue remodeling and recovery in mice with hyperlipidemia, a prevalent vascular risk factor in stroke patients.MethodsMale mice on a normal (regular) diet or on cholesterol-rich Western diet were exposed to 30 min intraluminal middle cerebral artery occlusion (MCAO). Vehicle or 106 NPCs were intravenously administered immediately after reperfusion, at 3 day and 7 day post-MCAO. Neurological recovery was evaluated using the Clark score, Rotarod and tight rope tests over up to 56 days. Histochemistry and light sheet microscopy were used to examine ischemic injury and brain tissue remodeling. Immunological responses in peripheral blood and brain were analyzed through flow cytometry.ResultsNPC administration reduced infarct volume, blood–brain barrier permeability and the brain infiltration of neutrophils, monocytes, T cells and NK cells in the acute stroke phase in both normolipidemic and hyperlipidemic mice, but increased brain hemorrhage formation and neutrophil, monocyte and CD4+ and CD8+ T cell counts and activation in the blood of hyperlipidemic mice. While neurological deficits in hyperlipidemic mice were reduced by NPCs at 3 day post-MCAO, NPCs did not improve neurological deficits at later timepoints. Besides, NPCs did not influence microglia/macrophage abundance and activation (assessed by morphology analysis), astroglial scar formation, microvascular length or branching point density (evaluated using light sheet microscopy), long-term neuronal survival or brain atrophy in hyperlipidemic mice.ConclusionsIntravenously administered NPCs did not have persistent effects on post-ischemic neurological recovery and brain remodeling in hyperlipidemic mice. These findings highlight the necessity of rigorous investigations in vascular risk factor models to fully assess the long-term restorative effects of cell-based therapies. Without comprehensive studies in such models, the clinical potential of cell-based therapies cannot be definitely determined.

Technique Tip: Using a Targeting Guide to Place Flexible Syndesmosis Fixation, in Ankle Fractures With a Dual Plate Construct

Syndesmosis disruption alone or accompanying an ankle fracture is a frequent injury addressed by the foot and ankle surgeon. Reduction and fixation are usually performed with the use of implants as a tight rope and/or screw(s). When treating complex articular injuries requiring multiple buttress plates, the ability to enhance fixation with syndesmotic implants can be difficult in the presence of other hardware. We propose a technique using an anterior cruciate ligament targeting drill guide to precisely place syndesmotic fixation across both plates to achieve the ideal construct for stability. In this case, we used flexible fixation for the syndesmosis. Level of Evidence: Diagnostic level V; expert opinion.

Management of Immune Checkpoint Inhibitor–Associated Endocrinopathies: A Tight Rope Walk

Managing endocrine side effects of cancer immunotherapy: A tight rope walk for the oncologist.

Simultaneous acromioclavicular dislocation, proximal humeral fracture, and reverse Hill–Sachs lesion: a case report

BackgroundIn cases with injuries to the shoulder region, the combination of acromioclavicular joint dislocation, reverse Hill–Sachs lesion, and proximal humeral fracture is a very rare condition.Case presentationThis study described a 38-year-old male Persian patient with simultaneous acromioclavicular joint dislocation, proximal humeral fracture, and reverse Hill–Sachs lesion due to motor vehicle crash injury who underwent arthroscopic acromioclavicular joint fixation using tight rope technique. In the 7-month follow-up period following the surgical fixation, range of motion was approximately normal. Reduction and hardware were intact, no dislocation or apprehension to dislocation was observed. Patient only had minor shoulder pain at the end of range of motion and a dull pain on the site of incision over the clavicle in deep touch. Our findings showed acceptable arthroscopic outcomes in the management of such complex case.ConclusionOur experience on this case showed acceptable outcomes of the arthroscopic treatment of the acromioclavicular joint dislocation in the management of such a complex case with associated injuries to the shoulder region.

Comparison of Effectiveness and Safety in Treating Acute Acromioclavicular Joint Dislocation with Five Different Surgical Procedures: A Systematic Review and Network Meta-Analysis.

This network meta-analysis aims to evaluate the comparative effectiveness and safety of suture anchors (SA), tendon grafts (TG), hook plates (HP), Tight-Rope (TR), and EndoButton (EB) in the treatment of acute acromioclavicular joint (ACJ) dislocation. The Embase, PubMed, and Web of Science databases were searched from their inception date to June 3, 2022. Studies included all eligible randomized controlled trials (RCTs) and cohort studies with the comparison of five different fixation systems among SA, TG, HP, TR, and EB were identified. All studies were reviewed, performed data extraction, and assessed the risk of bias independently by two reviewers. The primary outcomes are Constant-Murley score (CMS) improvement for assessing clinical efficacy, and complications. The second outcomes are visual analog scale (VAS) for assessing pain relief and the coracoclavicular distance (CCD) for assessing postoperative joint reduction. Version 2 of the revised Cochrane risk of bias tool for randomized trials (RoB 2) and the risk of bias in nonrandomized studies of interventions (ROBINS-I) were used to assess the RCTs and non-randomized trials, respectively. The continuous outcomes were presented as mean differences (MD), and risk ratios (OR) were used for dichotomous outcomes, both with 95% confidence intervals (CI). Surface under the cumulative ranking curves (SUCRA) results were calculated to offer a ranking of each intervention. We identified 31 eligible trials, including 1687 patients in total. HP showed less CMS improvement than TR and EB in both the Network Meta-analysis (NMA) and pairwise meta-analysis. HP also showed less CMS improvement than SA in NMA. For pain relief, HP performed worse than TR both in pairwise meta-analysis and NMA. No significant differences were found for the measured value of CCD. Both TR and EB showed a lower incidence of complications than HP in pairwise meta-analysis. The rank of SUCRA for CMS improvement was as follows: SA, TR, EB, TG, and HP; for pain relief: TR, EB, TG, SA, and HP; for CCD: HP, TR, SA, EB, and TG. For complications, HP showed the highest rank, followed by TG, EB, TR, and SA. SA shows better clinical effectiveness and reliable safety in the treatment of acute ACJ dislocation. Although HP is the most widely used surgical option currently, it should be carefully taken into consideration for its high incidence of complications.

Comparaison d’une plaque à crochet seule, d’une plaque à crochet renforcée par une ancre de réinsertion et d’une suture par TightRope d’une luxation acromioclaviculaire aigüe de type IV

IntroductionThe best treatment for Rockwood type V acromioclavicular (AC) joint dislocation is unknown. HypothesisHook plate augmented with suture anchor (HA) may have different clinical and radiological results than hook plate alone (H), and arthroscopically assisted TightRope (TR) techniques in treating acute type V AC joint dislocations. Material and methodsThis retrospective study included 71 patients with acute type V AC joint dislocations between December 2010 and August 2018. Patients were categorized into three groups: H group (n=22), HA group (n=23) and TR group (n=26). We measured the coracoclavicular distance (CCD) differences and CCD ratio compared to uninjured side pre-operatively, immediately post-operatively, at 3-month and 2-year after operation. Clinical outcomes were assessed as well at the same time points. Loss of correction was determined by the CCD difference and ratio between surgical and uninjured sides. ResultsThe mean age and follow-up period were 41.8±24.7 years and 30.2±4.3 months, respectively. No significant differences were found in the demographic data between the three groups. The HA group presented a trend of less overcorrection but without significance compared with the H group at immediately post-operation, 3-month, and 2-year follow-up. (CCD difference: –2.4mm vs. –3.7mm, –1.6mm vs. –1.8, and 0.2mm vs –1.9mm, CCD ratio: 67.7 % vs. 40.9 %, 79.3 % vs. 70.1 %, and 100.6 % vs. 86.5 %, respectively). The HA group also had significantly less loss of correction compared with the TR group at 3-month and 2-year after the operation (CCD difference: –1.6mm vs. 1.6mm, 0.2mm vs. 2.4mm; CCD ratio: 79.3 % vs. 122.2 %, 100.6 % vs. 136.1 %, all p<0.05). All three methods achieved significant improvement in function and pain without inter-group differences. No coracoid-related or tunnel complications occurred. DiscussionThe hook plate alone, and hook plate with suture anchor augmentation techniques provided less residual vertical instability compared to TightRope fixation at 2-year follow-up. The patient-reported functional outcomes were promising and comparable among the three groups. Level of evidenceIII, retrospective comparative therapeutic trial.

Long-term Clinical Outcomes After TightRope Versus Hook Plate Fixation for Acute Acromioclavicular Joint Dislocation.

There is limited information regarding the long-term efficacy of techniques for surgical fixation after acromioclavicular (AC) joint dislocation. To evaluate the efficacy of hook plate (HP) and TightRope (TR) fixation for acute AC joint dislocations by comparing the long-term clinical and radiological patient outcomes. Cohort study, Level of evidence, 3. This study retrospectively analyzed data from 61 patients with acute AC joint dislocation between July 2011 and November 2015. The patients were grouped according to surgical procedure: HP (n = 36) and TR (n = 25). Clinical outcomes at final follow-up were evaluated using the visual analog scale (VAS) for pain; the American Shoulder and Elbow Surgery score; the Korean Shoulder Score; and the University of California, Los Angeles (UCLA) shoulder score. Side-to-side coracoclavicular (CC) distance on radiographs, postoperative complications, and the rate of subacromial erosion in the HP group were also assessed between procedures. The mean follow-up period was 7.0 ± 1.0 years, and there were no significant differences in pain or outcome scores between the HP and TR groups (all P > .05). Forward flexion was better in the TR group (172.6° ± 5.6°) versus the HP group (166.0° ± 10.8°; P = .002). The percentages of patients with a difference in the side-to-side CC distance of <5 mm were 83.3% and 72.0% in the HP and TR groups, respectively (P = .288). Complications were found in 2 patients in the HP group and 1 in the TR group (P ≥ .999). Subacromial erosion was observed in 41.7% of patients after HP fixation, with no difference in VAS pain scores at the final follow-up in patients with versus without subacromial erosion (P = .719). When comparing HP with TR fixation for the treatment of acute AC joint dislocations, there were no significant differences in functional outcome scores, final CC distance, or complications. Slightly better forward flexion was seen after TR fixation. Subacromial erosion occurred in 40% of patients after HP fixation, but this did not affect long-term VAS pain scores. Both surgical techniques are effective treatment options for AC joint dislocation.