Evidence map›Paper›PMID 32607814›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon allograft is effective for chronic acromioclavicular joint injuries at mid-term follow-up.

Simone Cerciello, Daniel P Berthold, Colin Uyeki, Cameron Kia, Mark P Cote, Andreas B Imhoff, Knut Beitzel, Katia Corona, Augustus D Mazzocca, Lukas N Muench

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Article 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.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Simone CercielloCasa di Cura Villa Betania, Rome, Italy.
Daniel P BertholdDepartment of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.
Colin UyekiDepartment of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.
Cameron KiaDepartment of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.
Mark P CoteDepartment of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.
Andreas B ImhoffDepartment of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany.
Knut BeitzelDepartment of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany.
Katia CoronaDepartment of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy. Katia.corona@unimol.it.ORCID http://orcid.org/0000-0002-7894-1789
Augustus D MazzoccaDepartment of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.
Lukas N MuenchDepartment of Orthopaedic Surgery, UConn Health, Farmington, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical and radiographic outcomes of patients undergoing anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon allografts for the treatment of chronic acromioclavicular joint (ACJ) injuries with a minimum 1-year follow-up.

methodsPatients who underwent ACCR for chronic ACJ injuries between 2003 and 2017 were analyzed. Clinical outcome measures included American Shoulder and Elbow Surgeons (ASES), Constant-Murley (CM), Simple Shoulder Test (SST), and Single Assessment Numerical Evaluation (SANE) scores. Radiographic loss of reduction during follow-up was evaluated by calculating the difference (mm) in the coracoclavicular distance (CCD) of the involved side immediately postoperatively and at terminal follow-up.

resultsForty-two patients (mean age: 42.7 ± 12.8 years) were included in the study with an average follow-up of 3.8 ± 3.1 years (range: 1.1-11.5 years). Patients achieved significant improvement in ASES (50.2 ± 20.1 pre to 85.2 ± 16.3 post), CM (60.2 ± 18.5 pre to 88.2 ± 9.1 post), SST (6.1 ± 3.2 pre to 9.5 ± 3.7 post), and SANE (24.0 ± 25.7 pre to 89.0 ± 12.7 post) scores (P < 0.001, respectively). There were no significant differences in functional improvement when comparing type III and V injuries (n.s.). Mean increase in CCD of the involved side from immediately postoperative to final radiographic follow-up was 4.1 ± 3.9 mm, with no significant correlation to clinical outcomes scores. Complications occurred in 33.3% of cases, with postoperative heterotopic ossification being most frequent (14.3%).

conclusionPatients undergoing ACCR using free tendon allografts for chronic ACJ injuries achieved significant improvement in shoulder function at a mean follow-up of 3.8 years. No correlation was observed between the amount of loss of reduction and clinical outcome scores. Free tendon allografts may be a reliable alternative to autografts in the treatment of chronic ACJ dislocations. LEVEL OF EVIDENCE: IV.

Indexed as

Acromioclavicular JointAdultAllograftsAutograftsClavicleFemaleFollow-Up StudiesHumansJoint DislocationsLigaments, ArticularMaleMiddle AgedPlastic Surgery ProceduresPostoperative ComplicationsRadiographyShoulder DislocationACCRACJAcromioclavicular jointAnatomic coracoclavicular ligament reconstructionClinical outcomesShoulder surgeryTendon graft

Identifiers

PMID32607814

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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.