Methods: the outcome of 18 consecutive patients (12 men, 6 women; mean age, 44, 6 years; range, 23 - 61 years) who underwent open reduction and anatomical coracoclarvicular ligament recontruction for failures of another open reduction using tendinous autograft (two Palmaris longus tendon or Flexor digitorum superficialis middle tendon) with Kirschner pinning, was evaluated clinically and radiographically preoperative and final follow-up.