SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Anatomic reconstruction of the acromioclavicular joint provides the best functional outcomes in the treatment of chronic instability.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Does Weaver-Dunn procedure have a role in chronic acromioclavicular dislocations? A meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Management of a Failed Infected Acromio-Clavicular Joint Fixation with Chronic Instability using Anatomical Hybrid Reconstruction Technique: A Case Report.Journal of orthopaedic case reports · 2026Article
- Chronic Acromioclavicular Joint Instability: Outcomes after Stabilization without Tendon Graft Augmentation.Journal of orthopaedic case reports · 2026Article
- Low short-term complication rates following acromioclavicular joint surgery: a large database study.JSES reviews, reports, and techniques · 2026Article
- Comparable outcomes of arthroscopic and mini-open tightrope fixation for acute acromioclavicular joint dislocations.BMC surgery · 2025Article
- Anatomical reconstruction of coracoclavicular and acromioclavicular ligaments using an autologous tendon graft provides excellent outcomes in acute acromioclavicular joint dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Acromioclavicular Reconstruction Using the Lockdown Technique: A Case Series and Systematic Review.Journal of clinical medicine · 2025Review
- A Novel Anatomical Double Bundle Acromioclavicular Joint Reconstruction with Semi Tendinosus Graft-A Functional Outcome Assessment Study in a Tertiary Care Hospital Of Eastern India.Indian journal of orthopaedics · 2025Article
- Combined coracoclavicular ligament and transacromial capsule reconstruction for chronic acromioclavicular joint instability: clinical and radiological outcomes.Acta orthopaedica et traumatologica turcica · 2025Article
- Reconstruction of Coracoclavicular Ligaments with Semitendinosus Autograft and Temporary Kirschner Wires is a good option for Chronic Acromioclavicular Joint Instability.Malaysian orthopaedic journal · 2024Article
- Management of Acromioclavicular Injuries - Current Concepts.Orthopedic research and reviews · 2023Review
- Arthroscopic Treatment of Chronic Acromioclavicular Dislocation With Semitendinosus Autograft and Coracoclavicular Suspension Fixation.Arthroscopy techniques · 2022Article
- Is coracoclavicular ossification a complication or a good prognostic factor after surgical treatment of acromioclavicular joint injury?JSES international · 2022Article
- [Effectiveness of arthroscopic distal clavicle resection for symptomatic acromioclavicular joint arthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Hybrid coracoclavicular and acromioclavicular reconstruction in chronic acromioclavicular joint dislocations yields good functional and radiographic results.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Evolving concepts and consensus in challenging shoulder problems: a European perspective.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo systematically review the outcomes of surgical treatments of chronic acromioclavicular joint dislocation.
methodsStudies were identified by electronic databases (Ovid, PubMed). All studies reporting functional and radiological outcomes of surgical treatments of chronic acromioclavicular joint dislocations were included. Following data were extracted: authors and year, study design, level of evidence, number of patients, age, classification of acromioclavicular joint dislocation, time to surgery, surgical technique, follow-up, clinical and imaging outcomes, complications and failures. Descriptive statistics was used, when a data pooling was not possible. Comparable outcomes were pooled to generate summary outcomes reported as frequency-weighted values. Quality appraisal was assessed through the MINORS checklist.
resultsFourty-four studies were included for a total of 1020 shoulders. Mean age of participants was 38 years. Mean follow-up was 32.9 months. Arthroscopic techniques showed better results than open approach (p < 0.0001). Synthetic reconstructions demonstrated better functional outcomes compared to internal fixation and biologic techniques (p < 0.0001). Among biologic techniques, combined coracoclavicular and acromioclavicular ligaments reconstruction showed better Constant (p = 0.0270) and ASES (p = 0.0113) scores compared to isolated coracoclavicular ligaments reconstruction; anatomic biologic non-augmented graft reconstruction showed better Constant (p < 0.0001), VAS (p < 0.0001) and SSV (p = 0.0177) results compared to augmented techniques. No differences in functional outcomes could be found between anatomic biologic non-augmented graft versus synthetic reconstructions. Overall, methodological quality of the included studies was low.
conclusionAnatomic reconstructions, both synthetic and biologic, showed the best functional results. LEVEL OF EVIDENCE: IV.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.