Arthroscopic-Assisted Coracoclavicular and Acromioclavicular Ligament Reconstruction for Chronic AC Joint Separation
نویسندگان
چکیده
Background: Management of acromioclavicular joint (ACJ) separations depends on the type, chronicity injury, and patient demographics. Indications: Coracoclavicular ligament reconstruction may be indicated for patients with chronic type 3 ACJ separation who have failed conservative treatment. We describe an arthroscopic-assisted approach to facilitate graft passage around coracoid. Technique: Patients are placed in a beach chair position. A longitudinal incision at midline distal clavicle is utilized access ACJ, clavicle, The anterior, posterior, undersurface exposed. standard posterior viewing anterolateral working portals created. shuttling suture passed arthroscopically used pass allograft nonbiologic augmentation sutures through singular hole secured DogBone button. wrapped recreate coracoclavicular ligaments sutures. capsule reconstructed by suturing posterior/medial limb, which kept long, periosteum. Meticulous, layered closure performed particular attention closing deltotrapezial fascia. Results: postoperative x-ray 2 weeks 6 months obtained confirm proper positioning. sling discontinued weeks, supervised physical therapy initiated. At months, typically cleared full unrestricted activity. Discussion/Conclusion: Arthroscopic-assisted fail management can excellent outcomes. use arthroscopic assistance ease 70° scope helpful coracoid visualization, biologic tendon cases vital achieving good outcome. Patient Consent Disclosure Statement: author(s) attests that consent has been from any patient(s) appearing this publication. If individual identifiable, included statement release or other written form approval submission
منابع مشابه
MODIFIED ANATOMICAL RECONSTRUCTION TECHNIQUE FOR CHRONIC ACROMIOCLAVICULAR(AC) JOINT DISLOCATION
This was Presented in 5th International Congress of Iranian Iranian Society of Knee Surgery, Arthroscopy, and Sports Traumatology (ISKAST), 14-17 Feb 2018- Kish, Iran
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ژورنال
عنوان ژورنال: Video journal of sports medicine
سال: 2023
ISSN: ['2635-0254']
DOI: https://doi.org/10.1177/26350254231162114