Evidence map›Paper›PMID 39898227›Full record

ArticleJSES international2025

Superior suspensory complex of the shoulder reconstruction for acute and chronic acromioclavicular joint dislocations: the Queensland Unit for Advanced Shoulder Research 3-tunnel technique.

Helen Ingoe, Jashint Maharaj, Nagmani Singh, Kathir Azhagan Stalin, Kristine Italia, Roberto Pareyon, Mohammad N Jomaa, Kenneth Cutbush, Ashish Gupta

Abstract read
In one paragraph

Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. [A special type of triple injury of superior shoulder suspensory complex-lateral segment floating clavicle].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
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

9 authors.

Helen IngoeQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Jashint MaharajQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Nagmani SinghQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Kathir Azhagan StalinQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Kristine ItaliaQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Roberto PareyonQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Mohammad N JomaaQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Kenneth CutbushQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Ashish GuptaQueensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Management of acromioclavicular joint (ACJ) injuries have wide variety of classification systems, surgical indications and operative techniques. Our study describes the Queensland Unit for Advanced Shoulder Research (QUASR) 3-Tunnel Technique with Ligament Augmentation and Reconstruction System (LARS; Surgical Implants and Devices, Arc sur Tille, France) artificial ligament to reconstruct the superior shoulder suspensory complex in acute, chronic, and revision ACJ dislocations and lateral clavicle fractures. Methods: Our prospective cohort series of patients undergoing the QUASR 3-Tunnel Technique using LARS artificial ligament. This technique reconstructs the superior shoulder suspensory complex using 2 4-mm clavicle tunnels, 1 acromion tunnel, and is arthroscopically assisted to pass the artificial ligament under the coracoid. The ligament is secured with braided composite sutures and no interference screw is used. Preoperative and postoperative functional outcome scores were compared in patients with minimum 12-months follow-up. Results: Of 26 patients in this series, 7 (27%) were operated within 4 weeks of injury, 2 (8%) were revision cases, and 6 (23%) were lateral clavicle fractures. Mean time to surgery was 14 weeks (2-650). Mean postoperative scores with associated 95% confidence interval were Specific Acromioclavicular Score 87.38 (confidence interval 75.38-99.37), American Shoulder and Elbow Surgeons score 94.60 (87.85-101.35), Constant 79.47 (71.87-87.07), simple shoulder test 85.44 (72.34-98.54) and visual analog score 0.50 (-0.15 to 1.15). There were 2 infections and 1 atraumatic loss of reduction; however, there were no tunnel fractures. Conclusion: The QUASR 3-Tunnel Technique with LARS artificial ligament is a safe and efficient technique for both acute and chronic ACJ reconstruction, lateral clavicle fractures with coracoclavicular ligament disruption and complex revision cases with favorable outcomes at the mid-term follow-up.

Indexed as

Acromioclavicular jointDislocationLARS artificial ligamentLateral clavicle fractureReconstructionRockwood

Identifiers

PMID39898227
PMCPMC11784502

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Registered trials

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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.