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s over time in both groups. For the CC distances, neither main nor interaction effects were significant (all p 0.05). Both the isolated CC reconstruction and the CC reconstruction with an additional AC cerclage showed good clinical results at 2years' follow-up. AC distances increased in both groups from the post-surgery measurement to the 2-year follow-up, but were generally lower with an additional AC cerclage. CC distances did not increase significantly over time in both groups. Therefore, the presented data suggest adding a fixa