Yoo YS, Khil EK, Im W, et al. - In this study, the clinical and radiologic outcomes of arthroscopically assisted coracoclavicular (CC) fixation were compared using multiple soft anchor knots versus hook plate fixation in patients with acute high-grade Rockwood type III and V acromioclavicular (AC) joint dislocations. Between February 2016 and March 2018, researchers conducted a retrospective study including a total of 22 patients with acute Rockwood type III and V AC joint dislocations who had undergone arthroscopic fixation or hook plate fixation surgery. Individuals were classified into two groups: arthroscopically assisted CC fixation using multiple soft anchor knots group ( AR, n =12) and hook plate fixation group ( HO, n =10). They assessed the CC distances (CCDs) and CCD ratio at 6 months, 1 year, and last follow-up postoperatively to correlate the radiological results between the groups. Using multiple soft anchor knots, the CC fixation method exhibited satisfactory outcomes and had superior CC ligament healing ability and maintenance of CC distance in comparison with hook fixation.