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None of the techniques appears superior, but double\u2010button fixation for acute high\u2010grade acromioclavicular dislocations has become an attractive option. The clinical outcomes are good to excellent, and the return to physical activity and sport is above 90%. However, complications such as loss of reduction and tunnel widening have been described and can reach up to 80%. The load to failure of the native coracoclavicular complex is more than 600 N, and any surgical technique must surpass this figure. Single\u2010button and loop techniques do not always sufficiently stabilize the acromioclavicular joint. Even double\u2010 and triple\u2010button techniques may not restore vertical and horizontal stability of the acromioclavicular joint to its native normal state. Double\u2010button technique restores both scapula and clavicular rotation closest to the native state, but still has lower stiffness and results in higher superior\u2010inferior translation, which could cause ongoing vertical instability.<\/jats:p>","DOI":"10.1016\/j.arthro.2020.03.015","type":"journal-article","created":{"date-parts":[[2020,4,30]],"date-time":"2020-04-30T22:18:52Z","timestamp":1588285132000},"page":"1271-1272","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["<i>Editorial Commentary:<\/i>\n                    Coracoclavicular Ligament Reconstruction. 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