{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:48:58Z","timestamp":1792198138208,"version":"4.4.0"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004830","name":"Siemens","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004830","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009339","name":"Steadman Philippon Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009339","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004340","name":"Siemens USA","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004340","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purposes of this study were to assess clinical and radiographic outcomes of arthroscopically\u2010assisted, anatomic coracoclavicular ligament reconstruction using tendon allograft (AA\u2010ACCR) for the treatment of Rockwood type III\u2010V injuries at minimum 2\u2010year follow\u2010up and to perform subgroup analyses of clinical and radiographic outcomes for acute versus chronic and type III versus type IV\u2010V injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study of prospectively collected data, patients who underwent primary AA\u2010ACCR for the treatment of type III\u2010V dislocations and had minimum 2\u2010year follow\u2010up were included. Preoperative and postoperative patient\u2010reported outcome scores (PROs) were collected, including American Shoulder and Elbow Surgeons score, Single Numeric Assessment Evaluation score, Short Form\u201312 Physical Component Summary, Quick Disabilities of the Arm Shoulder and Hand score, and patient satisfaction. Preoperative and postoperative coracoclavicular distance (CCD) was obtained. PROs and CCD were reported for the total cohort and for the subgroups. Complication and revision rates were demonstrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 102 patients (10 women, 92 men) with a mean age of 45.0 years (range, 18\u201073 years) were included. There were 13 complications (12.7%) resulting in revision surgery. After exclusion of revised patients, PROs were available for 69 (77.5%). At mean follow\u2010up of 4.7 years (range, 2.0\u201012.8 years), all PROs improved significantly (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Median patient satisfaction was 9.0 (interquartile range, 8.0\u201010.0). Median preoperative to postoperative CCD decreased significantly (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Subgroup analyses revealed significant improvements in all PROs and CCD from preoperative to postoperative for both acute and chronic, and type III and type IV\u2010V dislocations (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05) with no significant differences in postoperative PROs and satisfaction between (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AA\u2010ACCR for high\u2010grade acromioclavicular joint injuries resulted in high postoperative PROs and patient satisfaction with significant improvements from before to after surgery in those who did not undergo revision surgery. Furthermore, subgroup analyses revealed that acute and chronic, and type III and type IV\u2010V injuries benefitted similarly from AA\u2010ACCR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV; therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.04.035","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T12:07:26Z","timestamp":1619784446000},"page":"3025-3035","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":20,"title":["Mid\u2010Term Outcomes of Arthroscopically\u2010Assisted Anatomic Coracoclavicular Ligament Reconstruction Using Tendon Allograft for High\u2010Grade Acromioclavicular Joint Dislocations"],"prefix":"10.1002","volume":"37","author":[{"given":"Philip C.","family":"Nolte","sequence":"first","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"BG Trauma Center Ludwigshafen at the University of Heidelberg Clinic for Trauma and Orthopaedic Surgery Ludwigshafen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"Ruzbarsky","sequence":"additional","affiliation":[{"name":"Steadman Clinic Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryant P.","family":"Elrick","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Woolson","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaare S.","family":"Midtgaard","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Division of Orthopaedic Surgery Oslo University Hospital Oslo"},{"name":"Norwegian Armed Forces Joint Medical Services Forsvarsvegen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter J.","family":"Millett","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado U.S.A."},{"name":"Steadman Clinic Vail Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"191","article-title":"Radiography of acromioclavicular dislocation and associated injuries","volume":"32","author":"Nguyen V.","year":"1991","journal-title":"Crit Rev Diagn Imaging"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.016"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00734"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.034"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119884539"},{"key":"e_1_2_2_7_2","unstructured":"Cerciello S Berthold DP Uyeki C et\u00a0al. 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