https://m2.mtmt.hu/ eng 2026-10-24 10:50 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 2026-10-09T16:57:28.871+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. 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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 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/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 University">SU</span>/<span title="Faculty of Medicine">FM</span>/<span title="Clinical">C</span>/Department of Orthopedics; <span title="Semmelweis University">SU</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Centre for Translational Medicine</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 University">SU</span>/<span title="Faculty of Medicine">FM</span>/<span title="Clinical">C</span>/Institute of Pancreatic Diseases; <span title="Semmelweis University">SU</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Centre for Translational Medicine; <span title="University of Pécs">UP</span>/<span title="Medical School">UPMS</span>/Institute for Translational Medicine</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="University of Veterinary Medicine Budapest">UVMB</span>/<span title="Institute of Economics and Biostatistics">IEB</span>/Department of Biostatistics</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 University">SU</span>/<span title="Faculty of Medicine">FM</span>/<span title="Clinical">C</span>/Institute of Pancreatic Diseases; <span title="Semmelweis University">SU</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Centre for Translational Medicine; <span title="University of Pécs">UP</span>/<span title="Medical School">UPMS</span>/Institute for Translational Medicine</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 University">SU</span>/<span title="Faculty of Medicine">FM</span>/<span title="Clinical">C</span>/Department of Orthopedics; <span title="Semmelweis University">SU</span>/<span title="Központi Szervezeti Egységek (beleértve az Egyéb Szervezeti Egységeket)">KSZE</span>/Centre for Translational Medicine</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">Language: English | </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"> Other URL </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Journal subject: Scopus - Medicine (miscellaneous)&nbsp;&nbsp;&nbsp;Rank:&nbsp;Q2</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="" class="citingPub-count">Citing papers: 1</span> | Independent citation: 1 | Self citation: 0 | Unknown citation: 0 | Number of citations in WoS: 1 | Number of citations in Scopus:&nbsp;1 | WoS/Scopus assigned:&nbsp;1 | Number of citations with DOI:&nbsp;1 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;36215448&sort=publishedYear,desc&sort=title"> Number of cited publications: 3 </a> </div> <div class="mtid"><span class="long-pub-mtid">Publication: 36215448</span> | <span class="status-data status-VALIDATED"> Validated </span> Core Citing | <span class="type-subtype">Journal Article ( Survey paper ) </span> | <span class="pub-category">Scientific</span> | <span class="publication-sourceOfData">PubMed XML</span> </div> <div class="funder"> (EKÖP-2024-11) </div> <div class="lastModified">Last Modified: 2026.06.03. 05:00 Róbert Milánkovics (PTE ÁOK admin 4) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Comments</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>