{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T05:24:53Z","timestamp":1777785893735,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,11,4]],"date-time":"2012-11-04T00:00:00Z","timestamp":1351987200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to compare the results after arthroscopically assisted double TightRope<jats:sup>\u00ae<\/jats:sup>\u2014(TR) reduction with results after clavicular hook plate (HP) fixation in acute high\u2010grade acromioclavicular (AC) joint separations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2004 and 2010, 69 consecutive patients with acute AC joint separations type Rockwood III and V were subjected to surgical reconstruction. 56 patients (81 %) were available for evaluation. Thereof, 30 (median age: 39 years; <jats:italic>n<\/jats:italic> = 12 acute Rockwood III and <jats:italic>n<\/jats:italic> = 18 Rockwood V injuries) were treated by a clavicular HP and 26 (median age: 39 years; <jats:italic>n<\/jats:italic> = 10 acute Rockwood III and <jats:italic>n<\/jats:italic> = 16 Rockwood V injuries) using the double TR technique. Group HP was evaluated at a median of 48 (7\u201377) months after surgery and the TR group 17 (7\u201329) months after stabilization. Visual Analogue Scale (VAS) for Pain, Simple Shoulder Test (SST), Constant Score (CS) and Taft Score (TS) were assessed. Sonographic measurements were performed to evaluate recurrent instability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Clinical examination demonstrated comparable results without significant differences. In the groups HP and TR, the VAS was median 0.8 (range, 0.0\u20137.5) and 0.4 (range, 0.0\u20135.7), the SST reached median 11 (range, 0\u201312 points) and 12 points (range, 8\u201312 points). The CS was median 92.4 % (range, 21.5\u2013105.4 %) and 94.0 % (range, 54.6\u2013105.3 %) and the TS median 10 (range, 3\u201312 points) and 10 points (range, 5\u201312 points). Sonographic measurements showed a mean coracoclavicular (CC) distance of 25.3 \u00b1 4.5 (HP) and 25.5 \u00b1 4.3\u00a0mm (TR) (n.s.). In both groups, CC distance of the operated side was significantly higher compared to the uninjured side. The complication rate was 13 % in group HP and 12 % in group TR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In acute high\u2010grade AC joint instabilities, both techniques lead to mostly good and excellent clinical results, although comparable partial recurrent vertical instability could be observed. Diagnosis and therapy of concomitant glenohumeral injuries and no obligatory implant removal are advantages of the arthroscopic procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Therapeutic; retrospective comparative study, Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-012-2270-5","type":"journal-article","created":{"date-parts":[[2012,11,3]],"date-time":"2012-11-03T03:53:55Z","timestamp":1351914835000},"page":"422-430","source":"Crossref","is-referenced-by-count":129,"title":["Has the arthroscopically assisted reduction of acute AC joint separations with the double tight\u2010rope technique advantages over the clavicular hook plate fixation?"],"prefix":"10.1002","volume":"22","author":[{"given":"Gunnar","family":"Jensen","sequence":"first","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Friederikenstift Hospital Hannover Humboldtstra\u00dfe 5 30169 Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Christoph","family":"Katthagen","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Friederikenstift Hospital Hannover Humboldtstra\u00dfe 5 30169 Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura Esther","family":"Alvarado","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Friederikenstift Hospital Hannover Humboldtstra\u00dfe 5 30169 Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Lill","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Friederikenstift Hospital Hannover Humboldtstra\u00dfe 5 30169 Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Voigt","sequence":"additional","affiliation":[{"name":"Department of Trauma and Reconstructive Surgery Friederikenstift Hospital Hannover Humboldtstra\u00dfe 5 30169 Hannover Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,4]]},"reference":[{"issue":"179","key":"e_1_2_7_2_1","first-page":"260","article-title":"Dislocation of the acromioclavicular joint","volume":"15","author":"Alexander OM","year":"1949","journal-title":"Radiography"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195\u2010008\u20100013\u20107"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010005\u20100073\u20106"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.005"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","unstructured":"CoaleRM HollisterSJ DinesJS AllenAA BediA(2012)Anatomic considerations of transclavicular\u2010transcoracoid drilling for coracoclavicular ligament reconstruction.J Shoulder Elbow Surg. doi:10.1016\/j.jse.2011.12.008","DOI":"10.1016\/j.jse.2011.12.008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"issue":"6","key":"e_1_2_7_8_1","first-page":"515","article-title":"The treatment of acromioclavicular joint dislocation Tossy grade III with a clavicle hook plate","volume":"70","author":"De Baets T","year":"2004","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2009.12.012"},{"issue":"8","key":"e_1_2_7_10_1","first-page":"393","article-title":"Sonographic diagnosis of the injured acromioclavicular joint. 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