{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:05:32Z","timestamp":1768453532120,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,4,25]],"date-time":"2020-04-25T00:00:00Z","timestamp":1587772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,4,25]],"date-time":"2020-04-25T00:00:00Z","timestamp":1587772800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,4,25]],"date-time":"2020-04-25T00:00:00Z","timestamp":1587772800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Although many open techniques have been developed, no all\u2010arthroscopic technique has been introduced to reduce acute acromioclavicular joint dislocation (ACJD) and augment both coracoclavicular (CC) ligaments. The Kite technique is the first all arthroscopic technique with this aim.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010one consecutive patients [35M\u20136F; median: 29.2 years (range 23\u201336)] with acute type III and V acromioclavicular joint dislocation were treated with the Kite technique: it consists of positioning three titanium buttons connected by heavy sutures in an 8\u2010strand configuration between clavicle and coracoid to restore the anatomy of CC ligaments. Patients were followed up for a median of 35\u00a0months (range 30\u201343\u00a0months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median operation time was 70.6\u00a0min (range 58\u201382), with no cases of intra\u2010operative complications. At the final follow\u2010up, the median post\u2010operative Constant Score and SST were 94.1 (range 89\u201398) and 11.6 (range 10\u201312), respectively. At the final follow\u2010up reduction maintenance was present in 39 patients; in one patient, signs of acromioclavicular joint dislocation recurrence were present 3\u00a0months post\u2010op. In another patient, medial suture ruptures occurred 4\u00a0months after surgery with type II acromioclavicular joint dislocation recurrence but with scarce symptoms and full recovery to sport activity. Clavicle osteolysis was observed in four patients. Cosmetics of the arm were judged as excellent in 39\/41. All patients, except two, were satisfied with the final result.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The kite technique is a safe and reproducible arthroscopic procedure to treat acute ACJD. In daily clinical practice, due to the excellent results and the low complication rate, this technique might be considered by surgeons when operative treatment of an acute acromioclavicular joint dislocation is planned.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06013-5","type":"journal-article","created":{"date-parts":[[2020,4,25]],"date-time":"2020-04-25T06:02:40Z","timestamp":1587794560000},"page":"2055-2063","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Kite technique: a new all\u2010arthroscopic technique for the treatment of acute acromioclavicular joint dislocation"],"prefix":"10.1002","volume":"29","author":[{"given":"V.","family":"Campagna","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Shoulder and Elbow Surgery Celio Military Hospital Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Piccinni","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Shoulder and Elbow Surgery Celio Military Hospital Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Rotundo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Shoulder and Elbow Surgery Celio Military Hospital Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorio","family":"Candela","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Anatomy, Histology, Legal Medicine and Orthopedics Sapienza University of Rome\u2010Polo Pontino (ICOT) Latina Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Gumina","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Anatomy, Histology, Legal Medicine and Orthopedics Sapienza University of Rome\u2010Polo Pontino (ICOT) Latina Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,25]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010196749040\u201000024"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2003.09.018"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010011\u20101828\u2010y"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.08.008"},{"key":"e_1_2_8_6_2","first-page":"866","article-title":"Acromioclavicular separations: new method of repair","volume":"73","author":"Bosworth BM","year":"1941","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM194908112410601"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000441\u2010186104000\u201000006"},{"key":"e_1_2_8_10_2","first-page":"300","article-title":"Surgical treatment of Almann type III acromioclavicular dislocation. 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