{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:10:00Z","timestamp":1773609000118,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,7,11]],"date-time":"2013-07-11T00:00:00Z","timestamp":1373500800000},"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":[[2014,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to introduce a novel surgical technique for simultaneous anatomic reconstruction of the acromioclavicular and coracoclavicular ligaments using a single tendon graft and to compare its biomechanical characteristics to those of a coracoid cerclage reconstruction of the coracoclavicular ligaments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Six matched pairs of human acromioclavicular joints with an average age of 54.8 \u00b1 7.8 years were used. One shoulder from each pair received the single tendon acromioclavicular\u2013coracoclavicular reconstruction; the contralateral shoulder received the coracoid cerclage reconstruction. Bovine extensor tendon was used for both techniques. The single tendon acromioclavicular\u2013coracoclavicular reconstruction technique provided anatomic restoration of the two coracoclavicular ligaments and the superior and inferior acromioclavicular ligaments simultaneously using one coracoid hole, one acromion hole, and two clavicular holes with interference screws. Anterior\u2013posterior and superior\u2013inferior translations were quantified for all specimens before and after reconstruction, followed by load to failure testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Following coracoid cerclage reconstruction, total anterior\u2013posterior translation was significantly greater than intact (10.0 \u00b1 5.7\u00a0mm; <jats:italic>p<\/jats:italic> = 0.008). Following single tendon acromioclavicular\u2013coracoclavicular reconstruction, there was no significant difference in anterior\u2013posterior translation compared to intact (\u22121.6 \u00b1 2.2\u00a0mm; n.s.). The coracoid cerclage technique demonstrated significantly greater anterior\u2013posterior translation than the single tendon acromioclavicular\u2013coracoclavicular technique (<jats:italic>p<\/jats:italic> = 0.007). Both techniques restored superior\u2013inferior translation to the intact condition (n.s.). Ultimate load, deformation at ultimate load, and energy absorbed at ultimate load were significantly greater after acromioclavicular\u2013coracoclavicular reconstruction than after coracoid cerclage reconstruction (<jats:italic>p<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This novel single tendon anatomic acromioclavicular\u2013coracoclavicular reconstruction provided greater stability and stronger load to failure characteristics than the isolated coracoid cerclage reconstruction. A simultaneous acromioclavicular\u2013coracoclavicular reconstruction technique using a single free tendon graft provided anatomic reconstruction of the conoid, trapezoid, and superior and inferior acromioclavicular ligaments and may reduce postoperative subluxation.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-013-2569-x","type":"journal-article","created":{"date-parts":[[2013,7,10]],"date-time":"2013-07-10T00:51:16Z","timestamp":1373417476000},"page":"2216-2222","source":"Crossref","is-referenced-by-count":24,"title":["Simultaneous anatomic reconstruction of the acromioclavicular and coracoclavicular ligaments using a single tendon graft"],"prefix":"10.1002","volume":"22","author":[{"given":"Sang\u2010Jin","family":"Shin","sequence":"first","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th Street 90822 Long Beach CA USA"},{"name":"Department of Orthopedic Surgery Ewha Womans University Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Campbell","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th Street 90822 Long Beach CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Scott","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th Street 90822 Long Beach CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle H.","family":"McGarry","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th Street 90822 Long Beach CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thay Q.","family":"Lee","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System (09\/151) 5901 East 7th Street 90822 Long Beach CA USA"},{"name":"Department of Orthopaedic Surgery University of California Irvine Irvine CA USA"},{"name":"Department of Biomedical Engineering University of California Irvine Irvine CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","unstructured":"AbramsGD McGarryMH JainNS FreehillMT ShinSJ CheungEV LeeTQ SafranMRBiomechanical evaluation of a coracoclavicular and acromioclacicular ligament reconstruction technique utilizing a single continuous intramedullary free tendon graft.J Should Elbow 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