{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:41:29Z","timestamp":1777408889599,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to compare clinical and radiologic outcomes between single\u2010 and double\u2010bundle arthroscopic\u2010assisted coracoclavicular (CC) ligament reconstruction using cortical fixation buttons with suture tapes for acute acromioclavicular (AC) joint dislocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent arthroscopic\u2010assisted CC ligament reconstruction using cortical fixation buttons with suture tapes for acute AC joint dislocation from July 2014 to March 2019 were identified. This study included patients treated for acute AC joint dislocation within 2 weeks after an injury, with a Rockwood classification of III or V and at least 2 years of follow\u2010up. Patients were divided into 2 groups based on the reconstruction technique: group I (single\u2010bundle technique) and group II (double\u2010bundle technique). The clinical outcomes were compared using the American Shoulder Elbow Surgeons (ASES) score, Constant score, and visual analog scale for pain score between the 2 groups. On the plain radiograph, the CC interval ratio (CCIR) was measured to evaluate maintenance of CC interval fixation. Postoperative complications, including reduction failure, were also documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010eight patients (26 in group I, 32 in group II) were enrolled. There were no significant differences in CCIR between the 2 groups preoperatively and 3 months postoperatively. However, the CCIR of group I was significantly greater than that of group II 6 months postoperatively (group I: 160.5% \u00b1 48.5%, group II: 125.4% \u00b1 38.9% at 6 months postoperatively,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01; group I: 164.0% \u00b1 57.3%, group II: 123.2% \u00b1 35.9% at the last visit,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01). Despite radiologic differences, the clinical outcomes demonstrated no significant differences between 2 the groups (ASES score: 93.5 \u00b1 5.2 in group I, 94.4 \u00b1 4.5 in group II,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .54; Constant score: 92.9 \u00b1 5.3 in group I, 94.8 \u00b1 4.3 in group II,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .16). Reduction failure occurred in 4 patients (15.3%) in group I and in 1 patient (3.2%) in group II (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .16).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic\u2010assisted double\u2010bundle CC ligament reconstruction using cortical fixation buttons with suture tapes provided superior vertical stability than the single\u2010bundle technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.09.018","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T02:14:53Z","timestamp":1665108893000},"page":"213-221","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Arthroscopic\u2010Assisted Double\u2010Bundle Coracoclavicular Ligament Reconstruction Using Cortical Fixation Buttons With Suture Tape Provides Superior Vertical Stability Than the Single\u2010Bundle Reconstruction for Acute Acromioclavicular Joint Dislocation"],"prefix":"10.1002","volume":"39","author":[{"given":"In","family":"Park","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery College of Medicine Ewha Womans University Seoul Hospital Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanghyeon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Seoul Medical Center Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang\u2010Jin","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery College of Medicine Ewha Womans University Seoul Hospital Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,6]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2015.07.023"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-016-1836-1"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20111122-13"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.01.020"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.02.003"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020312"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-017-0451-1"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2022.101825"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.11.013"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.06.048"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116674668"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281795"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508322524"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.12.031"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.10.006"},{"key":"e_1_2_2_17_2","doi-asserted-by":"crossref","unstructured":"Yu P Zhang Y Ye T Liu J Zhuang C Wang L. 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