Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Combined arthroscopically assisted coraco- and acromioclavicular stabilization of acute high-grade acromioclavicular joint separations.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.
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Who cites it
60 citing papers in PubMed, 4 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Biologic and synthetic ligament reconstructions achieve better functional scores compared to osteosynthesis in the treatment of acute acromioclavicular joint dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- The prevalence of intraarticular associated lesions after acute acromioclavicular joint injuries is 20%. A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Acromioclavicular joint augmentation at the time of coracoclavicular ligament reconstruction fails to improve functional outcomes despite significantly improved horizontal stability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- Endobutton combined with reinforced anchor effectively treated Tossy III acromioclavicular joint dislocation.Acta orthopaedica et traumatologica turcica · 2026Article
- Comparable outcomes of arthroscopic and mini-open tightrope fixation for acute acromioclavicular joint dislocations.BMC surgery · 2025Article
- Low-Profile Suture Button Technique with Additional AC Cerclage for High-Grade Acromioclavicular Joint Dislocations: A Retrospective Outcome Analysis.Journal of clinical medicine · 2025Article
- The association of clavicular, coracoidal and coracoclavicular radiographic tunnel position with loss of reduction after bidirectional acromioclavicular joint stabilization.Archives of orthopaedic and trauma surgery · 2025Article
- The Triple Anatomical Technique for Acromioclavicular Joint Reconstruction: A True Anatomical Reconstruction Technique Using Synthetic Ligaments With Acromioclavicular Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Comparison of endobutton and tendon graft techniques in acromioclavicular joint dislocation: Early treatment yields better outcomes.Medicine · 2025Article
- Is Autograft Reconstruction Successful in the Treatment of Chronic Acromioclavicular Separation?Indian journal of orthopaedics · 2025Article
- No Short-Term Effects of Acromioclavicular Joint Augmentation in Acute Acromioclavicular Joint Stabilization Surgery: A Randomized Controlled Clinical Trial on 70 Patients.Journal of clinical medicine · 2025Article
- A Nondrilling and Self-locking Suture Fixation Technique Assisted by Arthroscopy for Treating Acromioclavicular Joint Dislocation.Arthroscopy techniques · 2025Article
- Is there a role for acromioclavicular (AC) joint capsular repair and reconstruction in high-grade AC separations? A systematic review.EFORT open reviews · 2025Article
- Arthroscopic management of rockwood type V acromioclavicular joint dislocation using a modified suture-passage technique with a four-leaf clover plate and adjustable loop plate: a case report.Frontiers in surgery · 2025Article
- Outcomes of arthroscopic coracoclavicular management for acromioclavicular joint injuries: A systematic review.Journal of orthopaedics · 2025Review
- Clavicular tunnel widening in chronic acromioclavicular joint instabilities after primary versus revision arthroscopically-assisted acromio- and coracoclavicular stabilization.Journal of experimental orthopaedics · 2024Article
- Medial placement of trapezoid tunnel leads to higher reduction loss in acute acromioclavicular joint dislocation treated with anatomic coracoclavicular fixation.Shoulder & elbow · 2024Article
- Concomitant Glenohumeral Pathologies in Patients with Acromioclavicular Joint Dislocations: How Do Acute and Chronic Instabilities Differ?Journal of clinical medicine · 2024Article
- Double figure of eight technique using fiber tape for acute high-grade acromioclavicular joint dislocations - Reconstruction technique.Journal of clinical orthopaedics and trauma · 2024Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose and hypothesisDue to high rate of persisting dynamic posterior translation (DPT) following isolated coracoclavicular double-button technique for reconstruction of the acromioclavicular (AC) joint reported in the literature, an additional acromioclavicular cerclage was added to the procedure. The aim of this study was to evaluate the clinical and radiological results of patients with high-grade AC-joint instability treated with a double TightRope technique with an additional percutaneous acromioclavicular cerclage.
methodsFifty-nine patients (6 f/53 m; median age 38.3 (range 21.5-63.4 years) who sustained an acute high-grade AC-joint dislocation (Rockwood type V) were treated using the above-mentioned technique. At the final follow-up, the constant score (CS), the subjective shoulder value (SSV), the Taft score (TF) and the acromioclavicular joint instability score (ACJI) as well as bilateral anteroposterior stress views with 10 kg of axial load and bilateral modified Alexander views were obtained.
resultsAt a median follow-up of 26.4 (range 20.3-61.0) months, 34 patients scored a median of 90 (33-100) points in the CS, 90 (25-100) % in the SSV, 11 (4-12) points in the TF and 87 (43-100) points in the ACJI. The coracoclavicular (CC) distance was 12.1 (6.5-19.8) mm and the CC difference 2.0 (0.0-11.0) mm. Two patients (5.8%) showed a complete DPT of the AC joint, and fourteen patients (41.1%) displayed a partial DPT. The overall revision rate was 11.7%. Two patients presented implant irritation, one patient a recurrent instability, and one patient suffered from a local infection.
conclusionThe arthroscopically assisted and image-intensifier-controlled double TightRope technique with an additional percutaneous acromioclavicular cerclage leads to good and excellent clinical results after a follow-up of 2 years. The incidence of persisting dynamic horizontal translation is lower compared to isolated coracoclavicular stabilization. Thus, we recommend using the double TightRope implant with an additional acromioclavicular cerclage. LEVEL OF EVIDENCE: IV.
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