{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:01:49Z","timestamp":1790013709260,"version":"4.0.1"},"reference-count":27,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T00:00:00Z","timestamp":1712534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Bioeng. Biotechnol."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the effects of allogeneic tendon coracoclavicular ligament reconstruction combined with Kirschner wire fixation and clavicular hook plate fixation on early postoperative pain, postoperative shoulder joint function score and shoulder joint mobility in patients with acromioclavicular joint dislocation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2020 to January 2023, 43 patients with acromioclavicular joint dislocation admitted to Xi \u2018an Honghui Hospital were included. Among them, 24 patients were treated with the clavicular hook plate technique (Hook Plate,HP) group, and 19 patients were treated with allogeneic tendon coracoclavicular ligament reconstruction combined with the Kirschner wire technique (Allogeneic Tendon, AT) group. The Constant-Murley score of shoulder joint function 6\u00a0months after operation, postoperative shoulder joint activity, preoperative and postoperative pain, operation time, intraoperative blood loss and complications were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 43 patients were followed up for an average of 9.7 (9\u201312) months. The intraoperative blood loss in the allogeneic tendon group was less than in the hook plate group. The Constant-Murley shoulder function score was higher than that in the hook plate group 6 months after the operation. The abduction and lifting activity was greater than that in the hook plate group. The visual analogue scale scores at 3\u00a0days and 14 days after operation were lower than those in the hook plate group. The difference was statistically significant (<jats:italic>p<\/jats:italic> &amp;lt; 0.001). There was 1 case (5.3%) of exudation around the Kirschner needle track in the allogeneic tendon reconstruction group, and 5 cases (20.8%) of complications in the hook plate group, including 1 case of internal fixation stimulation, 2 cases of acromion impingement syndrome, 1 case of acromioclavicular joint osteoarthritis, and 1 case of shoulder joint stiffness. The complication rate of the allogeneic tendon group was lower than that of the hook plate group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The clinical efficacy of allogeneic tendon coracoclavicular ligament reconstruction combined with Kirschner wire fixation in treating acromioclavicular joint dislocation (Rockwood type III-V) is better than hook plate internal fixation. The patients have less early postoperative pain and better recovery of shoulder joint function and shoulder joint mobility.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fbioe.2024.1388905","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T04:23:17Z","timestamp":1712550197000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of allogeneic tendon material coracoclavicular ligament reconstruction combined with Kirschner wire and titanium alloy hook plate material fixation in the treatment of acromioclavicular joint dislocation"],"prefix":"10.3389","volume":"12","author":[{"given":"Bing","family":"Du","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yibo","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teng","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1007\/s10195-017-0451-1","article-title":"Post-operative outcomes and complications of suspensory loop fixation device versus hook plate in acute unstable acromioclavicular joint dislocation: a systematic review and meta-analysis","volume":"18","author":"Arirachakaran","year":"2017","journal-title":"J. Orthop. Traumatol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/6804670","article-title":"Migration of a broken kirschner wire after surgical treatment of acromioclavicular joint dislocation","volume":"2016","author":"Bat\u0131n","year":"2016","journal-title":"Case Rep. Surg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1931","DOI":"10.1007\/s00167-011-1828-y","article-title":"Biomechanical properties of repairs for dislocated AC joints using suture button systems with integrated tendon augmentation","volume":"20","author":"Beitzel","year":"2012","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"B4","doi-asserted-by":"publisher","first-page":"2096","DOI":"10.1007\/s00167-020-06123-0","article-title":"Anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon allograft is effective for chronic acromioclavicular joint injuries at mid-term follow-up","volume":"29","author":"Cerciello","year":"2021","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"B5","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1007\/s00068-006-6028-y","article-title":"The clavicular Hook Plate: consequences in three cases","volume":"33","author":"Chandrasenan","year":"2007","journal-title":"Eur. J. Trauma Emerg. Surg."},{"key":"B6","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1016\/j.aott.2019.08.002","article-title":"Comparison of clavicular hook plate with and without coracoclavicular suture fixation for acute acromioclavicular joint dislocation","volume":"53","author":"Chang","year":"2019","journal-title":"Acta Orthop. Traumatol. Turc"},{"key":"B7","doi-asserted-by":"publisher","first-page":"669","DOI":"10.5435\/jaaos-d-16-00776","article-title":"Challenges in treating acromioclavicular separations: current concepts","volume":"26","author":"Cook","year":"2018","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"B8","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1007\/s10195-013-0242-2","article-title":"Surgical treatment of chronic acromioclavicular dislocation with biologic graft vs synthetic ligament: a prospective randomized comparative study","volume":"14","author":"Fauci","year":"2013","journal-title":"J. Orthop. Traumatol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"103789","DOI":"10.1016\/j.otsr.2023.103789","article-title":"Quality and stability of reduction of operated acromioclavicular dislocation using dual acromioclavicular and coracoclavicular stabilization","volume":"2023","author":"Focsa","year":"2023","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.12200\/j.issn.1003-0034.2021.12.012","article-title":"Case-control study on the Endobutton plate and clavicular hook plate for the treatment of acromioclavicular joint dislocation","volume":"34","author":"Han","year":"2021","journal-title":"Zhongguo Gu Shang"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.1016\/j.jse.2009.10.019","article-title":"Transacromial erosion of a locked subacromial hook plate: case report and review of literature","volume":"19","author":"Hoffler","year":"2010","journal-title":"J. Shoulder Elb. Surg."},{"key":"B12","doi-asserted-by":"publisher","first-page":"232596712311650","DOI":"10.1177\/23259671231165097","article-title":"Long-term clinical outcomes after TightRope versus Hook Plate fixation for acute acromioclavicular joint dislocation","volume":"11","author":"Ko","year":"2023","journal-title":"Orthop. J. Sports Med."},{"key":"B13","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.otsr.2016.02.016","article-title":"Long-term outcomes of tension band wiring with a single K-wire in Rockwood type IV\/V acute acromio-clavicular dislocations: 25 cases","volume":"102","author":"Lateur","year":"2016","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"B14","doi-asserted-by":"publisher","first-page":"648","DOI":"10.1186\/s12891-022-05589-y","article-title":"Reconstruction of the coracoclavicular ligament with palmaris longus tendon and Mersilene tape for acromioclavicular dislocations","volume":"23","author":"Lee","year":"2022","journal-title":"BMC Musculoskelet. Disord."},{"key":"B15","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s10195-023-00685-8","article-title":"Risk factors of loss of reduction after acromioclavicular joint dislocation treated with a hook plate","volume":"24","author":"Lee","year":"2023","journal-title":"J. Orthop. Traumatol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/j.arthro.2023.05.023","article-title":"Suture button could result in more functional outcomes improvement and pain relief than Hook Plate technique for treating acute acromioclavicular joint dislocation: a systematic review of comparative studies","volume":"40","author":"Li","year":"2024","journal-title":"Arthroscopy"},{"key":"B17","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/1749-799x-9-6","article-title":"Clavicular hook plate may induce subacromial shoulder impingement and rotator cuff lesion--dynamic sonographic evaluation","volume":"9","author":"Lin","year":"2014","journal-title":"J. Orthop. Surg. Res."},{"key":"B18","doi-asserted-by":"publisher","first-page":"307","DOI":"10.3944\/aott.2013.3015","article-title":"The comparison of Ethibond sutures and semitendinosus autograft in the surgical treatment of acromioclavicular dislocation","volume":"47","author":"Mardani-Kivi","year":"2013","journal-title":"Acta Orthop. Traumatol. Turc"},{"key":"B19","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1186\/s12891-017-1803-y","article-title":"Concomitant glenohumeral pathologies in high-grade acromioclavicular separation (type III - V)","volume":"18","author":"Markel","year":"2017","journal-title":"BMC Musculoskelet. Disord."},{"key":"B20","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1177\/0363546505281795","article-title":"A biomechanical evaluation of an anatomical coracoclavicular ligament reconstruction","volume":"34","author":"Mazzocca","year":"2006","journal-title":"Am. J. Sports Med."},{"key":"B21","doi-asserted-by":"publisher","first-page":"1972","DOI":"10.1007\/s00167-014-3294-9","article-title":"Surgical treatment of acute acromioclavicular joint dislocations: hook plate versus minimally invasive reconstruction","volume":"24","author":"Metzlaff","year":"2016","journal-title":"Knee Surg. Sports Traumatol. Arthrosc."},{"key":"B22","doi-asserted-by":"publisher","first-page":"845","DOI":"10.1007\/s00402-017-2691-1","article-title":"Quantification of dynamic posterior translation in modified bilateral Alexander views and correlation with clinical and radiological parameters in patients with acute acromioclavicular joint instability","volume":"137","author":"Minkus","year":"2017","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"B23","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.jseint.2020.01.009","article-title":"Acromioclavicular joint dislocations: incidence, injury profile, and patient characteristics from a prospective case series","volume":"4","author":"Nordin","year":"2020","journal-title":"JSES Int."},{"key":"B24","doi-asserted-by":"publisher","first-page":"2983","DOI":"10.1016\/j.arthro.2018.06.048","article-title":"Biomechanical analysis of single-double-and triple-bundle configurations for coracoclavicular ligament reconstruction using cortical fixation buttons with suture Tapes: a cadaveric study","volume":"34","author":"Park","year":"2018","journal-title":"Arthroscopy"},{"key":"B25","doi-asserted-by":"publisher","first-page":"e433","DOI":"10.1016\/j.eats.2022.08.049","article-title":"Reconstruction of the acromioclavicular joint using a double augmentation with hamstrings tendon and dermal graft","volume":"12","author":"P\u00e9rez","year":"2023","journal-title":"Arthrosc. Tech."},{"key":"B26","doi-asserted-by":"publisher","first-page":"111047","DOI":"10.1016\/j.injury.2023.111047","article-title":"Anatomic acromioclavicular and Coracoclavicular ligament reconstruction with allograft is effective for the management of non-acute acromioclavicular dislocations","volume":"54","author":"Ruiz","year":"2023","journal-title":"Injury"},{"key":"B27","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1177\/0363546515615583","article-title":"Arthroscopic stabilization of chronic acromioclavicular joint dislocations: triple- versus single-bundle reconstruction","volume":"44","author":"Tauber","year":"2016","journal-title":"Am. J. Sports Med."}],"container-title":["Frontiers in Bioengineering and Biotechnology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fbioe.2024.1388905\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T04:24:33Z","timestamp":1712550273000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fbioe.2024.1388905\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,8]]},"references-count":27,"alternative-id":["10.3389\/fbioe.2024.1388905"],"URL":"https:\/\/doi.org\/10.3389\/fbioe.2024.1388905","relation":{},"ISSN":["2296-4185"],"issn-type":[{"value":"2296-4185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,8]]},"article-number":"1388905"}}