https://m2.mtmt.hu/ hun 2026-09-23 10:32 JournalArticle 36215448 VALIDATED true Department of Orthopaedics, Semmelweis University, Budapest, 1082, Hungary Centre for Translational Medicine, Semmelweis University, Budapest, 1082, Hungary Institute for Translational Medicine, Medical School, University of Pécs, Pécs, 7622, Hungary Institute of Pancreatic Diseases, Semmelweis University, Budapest, 1082, Hungary Department of Biostatistics, University of Veterinary Medicine, Budapest, 1078, Hungary Manninger Jenő Traumatology Center, Budapest, 1081, Hungary Military Hospital Medical Centre, Hungarian Defense Forces, Budapest, 1134, Hungary Export Date: 03 June 2026; Cited By: 0; Correspondence Address: G. Kocsis; Department of Orthopaedics, Semmelweis University, Budapest, 1082, Hungary; email: kocsisgyorgy@hotmail.com 0 false 2026-09-08T13:40:53.976+0000 2026-06-03T03:00:07.943+0000 2025-06-27T20:03:34.466+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true 2026-06-18T17:17:52.578+0000 2025-07-10T09:42:22.270+0000 true 10062062 Gere Tamásné /api/admin/10062062 Admin true 10062062 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 1134514 Survey paper true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/1134514 Összefoglaló cikk SubType 102 true 1134514 true 1 /api/category/1 Category true 1 Kovács, Krisztián Acromioclavicular Reconstruction Using the Lockdown Technique: A Case Series and Systematic Review true true /api/journal/10017543 REVIEWED true false 10017543 false 10017543 true 2077-0383 Journal FOREIGN 14 12 4046 4046 16 2025 Background: Acromioclavicular (AC) joint dislocations are frequent, especially kocsisamong young male athletes. While over 150 surgical techniques exist, consensus on optimal treatment-particularly for Rockwood type III injuries-remains elusive. This study evaluates the Lockdown procedure's efficacy, safety, and patient satisfaction, a synthetic ligament technique for AC joint stabilization. Methods: A multicenter prospective study was conducted on 39 patients across three Hungarian hospitals (2018-2023). Outcomes included shoulder function, pain levels, and complication rates, with subgroup analysis of acute (≤3 weeks) versus chronic (>3 weeks) cases. A systematic review of nine studies (205 cases) was also performed to assess broader outcomes and complications. Results: Significant improvements were observed in functional scores (OSS, Constant, DASH, SST, ASES, Nottingham, Imitani) and pain reduction, especially in acute cases with no prior shoulder surgery. The mean patient age was 38.9 ± 12.68 years, with a 24.5-month average follow-up. OSS improvement between acute and chronic cases was 14.96 (95% CI: 6.45-23.47; p = 0.0017). Complications (30.8%) occurred in eleven patients, mainly minor infections; implant failure necessitated revision in 5.1%. The systematic review reported a 34.6% complication rate (predominantly minor complications, like asymptomatic subluxation -16%) and 5.4% implant removal due to failure. A meta-analysis was not feasible due to data heterogeneity. Conclusions: The Lockdown procedure significantly enhances shoulder function and reduces pain, particularly in acute dislocations. However, the procedure showed a moderate complication rate, underscoring the need for careful patient selection and postoperative management. Funding 2054585 /api/funding/2054585 false true true true 2025 true true true false true false GOLD 2026-09-08 true https://doi.org/10.3390/jcm14124046 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 0 3 3 Folyóiratcikk Journal Article 24 1 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2026 0 1 1 1 1 Q2 false false false false 2025-06-29T06:53:37.694+0000 Biostatisztika tanszék (ÁTE / GBI); Ortopédiai Klinika (SE / AOK / K); Pankreász Betegségek Intézete (SE / AOK / K); Transzlációs Medicina Intézet (PTE / ÁOK); Transzlációs Medicina Központ (SE / KSZE) 5 45 5 8 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 127046145 /api/authorship/127046145 1 0.125 true false false Author 10068601 /api/author/10068601 Kovács Krisztián true true Kovács Krisztián true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046146 /api/authorship/127046146 2 0.125 false false false Author 10071961 /api/author/10071961 Váncsa Szilárd true true Váncsa Szilárd true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046147 /api/authorship/127046147 3 0.125 false false false Author 10022751 /api/author/10022751 Abonyi-Tóth Zsolt true 10022751 true Abonyi-Tóth Zsolt true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046148 /api/authorship/127046148 4 0.125 false false false Author 10002629 /api/author/10002629 Hegyi Péter true 10002629 true Hegyi Péter true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046149 /api/authorship/127046149 5 0.125 false false false Soós Gergely true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046150 /api/authorship/127046150 6 0.125 false false false Rábai Kálmán true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046151 /api/authorship/127046151 7 0.125 false false false Bogosi Tibor true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 127046152 /api/authorship/127046152 8 0.125 false true true Author 10067212 /api/author/10067212 Kocsis György true true Kocsis György true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 29537055 /api/publicationidentifier/29537055 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true GOLD true IDENTICAL 10.3390/jcm14124046 https://doi.org/10.3390/jcm14124046 false true PublicationIdentifier 29560633 /api/publicationidentifier/29560633 PlainSource 1 /api/publicationsource/1 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true WoS WoS https://www.webofscience.com/wos/woscc/full-record/@@@ true true 1 true IDENTICAL 001517081300001 https://www.webofscience.com/wos/woscc/full-record/001517081300001 false true PublicationIdentifier 29561395 /api/publicationidentifier/29561395 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 105009149191 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105009149191 true true PublicationIdentifier 29537054 /api/publicationidentifier/29537054 PlainSource 17 /api/publicationsource/17 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 40565792 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40565792&dopt=Abstract false true PublicationIdentifier 29602983 /api/publicationidentifier/29602983 PlainSource 40 /api/publicationsource/40 PublicationSourceType 10006 /api/publicationsourcetype/10006 true true true Egyéb URL Other URL @@@ true true 40 true IDENTICAL https://www.mdpi.com/2077-0383/14/12/4046 https://www.mdpi.com/2077-0383/14/12/4046 false true Classification 12251 /api/classification/12251 true true Keyword 338 /api/keyword/338 true 338 true Keyword 1357309 /api/keyword/1357309 true 1357309 true Keyword 1903013 /api/keyword/1903013 true true Keyword 2445661 /api/keyword/2445661 true true Keyword 3883699 /api/keyword/3883699 true true Keyword 3883700 /api/keyword/3883700 true true SjrRating 11603514 /api/sjrrating/11603514 638 0.49 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 2701 /api/classificationexternal/2701 true 2701 true Q2 DIRECT true true /api/publication/36215448 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10068601"><a href="/gui2/?type=authors&mode=browse&sel=10068601" target="_blank">Kovács Krisztián (<span class="authorship-author-name">Kovács Krisztián</span> <span class="authorAux-mtmt"> Ortopédia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Ortopédiai Klinika; <span title="Semmelweis Egyetem">SE</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Transzlációs Medicina Központ</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10071961"><a href="/gui2/?type=authors&mode=browse&sel=10071961" target="_blank">Váncsa Szilárd (<span class="authorship-author-name">Váncsa Szilárd</span> <span class="authorAux-mtmt"> Orvostudomány, egészségtudomány</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pankreász Betegségek Intézete; <span title="Semmelweis Egyetem">SE</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Transzlációs Medicina Központ; <span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Transzlációs Medicina Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10022751"><a href="/gui2/?type=authors&mode=browse&sel=10022751" target="_blank">Abonyi-Tóth Zsolt (<span class="authorship-author-name">Abonyi-Tóth Zsolt</span> <span class="authorAux-mtmt"> Biomatematika</span>) </a> </span> <span class="author-affil"><span title="Állatorvostudományi Egyetem">ÁTE</span>/<span title="Gazdaságtudományi és Biostatisztikai Intézet">GBI</span>/Biostatisztika tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10002629"><a href="/gui2/?type=authors&mode=browse&sel=10002629" target="_blank">Hegyi Péter (<span class="authorship-author-name">Hegyi Péter</span> <span class="authorAux-mtmt"> Gasztroenterológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pankreász Betegségek Intézete; <span title="Semmelweis Egyetem">SE</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Transzlációs Medicina Központ; <span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Transzlációs Medicina Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Soós Gergely </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Rábai Kálmán </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Bogosi Tibor </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10067212"><a href="/gui2/?type=authors&mode=browse&sel=10067212" target="_blank">Kocsis György ✉ (<span class="authorship-author-name">Kocsis György</span> <span class="authorAux-mtmt"> Ortopédia-traumatológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Ortopédiai Klinika; <span title="Semmelweis Egyetem">SE</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Transzlációs Medicina Központ</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36215448" target="_blank">Acromioclavicular Reconstruction Using the Lockdown Technique: A Case Series and Systematic Review</a></div> <div> <span class="journal-title">JOURNAL OF CLINICAL MEDICINE</span> <span class="journal-issn">( <a target="_blank" href="https://portal.issn.org/resource/ISSN/2077-0383">2077-0383</a>)</span>: <span class="journal-volume">14</span> <span class="journal-issue">12</span> <span class="page"> Paper 4046. 16 p. </span> <span class="year">(2025)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.3390/jcm14124046" target="_blank" href="https://doi.org/10.3390/jcm14124046"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001517081300001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001517081300001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105009149191" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105009149191"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="40565792" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40565792&dopt=Abstract"> PubMed </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="https://www.mdpi.com/2077-0383/14/12/4046" target="_blank" href="https://www.mdpi.com/2077-0383/14/12/4046"> Egyéb URL </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Medicine (miscellaneous)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q2</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 1</span> | Független: 1 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 1 | Scopus jelölt:&nbsp;1 | WoS/Scopus jelölt:&nbsp;1 | DOI jelölt:&nbsp;1 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;36215448&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 3 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 36215448</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Összefoglaló cikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">PubMed XML</span> </div> <div class="funder"> (EKÖP-2024-11) </div> <div class="lastModified">Utolsó módosítás: 2026.06.03. 05:00 Milánkovics Róbert (PTE ÁOK admin 4) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Orthopaedics, Semmelweis University, Budapest, 1082, Hungary Centre for Translational Medicine, Semmelweis University, Budapest, 1082, Hungary Institute for Translational Medicine, Medical School, University of Pécs, Pécs, 7622, Hungary Institute of Pancreatic Diseases, Semmelweis University, Budapest, 1082, H...</pre> </div></div>