A dynamic method of repair for acute and chronic acromioclavicular disruption

Abstract

The authors have presented a surgical procedure for disruption of the acromioclavicular joint with or without fracture of the lateral end of the clavicle. The results of the dynamic repairs have been excellent with restoration of stability and normal strength in all cases. The majority of this group were vigorous young high school college and professional athletes prior to their injury and all were returned to their previous activities.

Surgical treatment of chronic acromioclavicular dislocation with biologic graft vs synthetic ligament: a prospective randomized comparative study

“…Techniques based on the transposition of the patient’s tendons that show resistance to cyclic loading, similiar to rigid osteosynthesis (screws, plates, pins, metal or synthetic cerclage) [20, 21] but with lower rates of intra- and postoperative complications, were developed to address these problems [8, 19, 22–24]. Bailey [25] was the first to report the results of tendon transposition; Dewar and Barrington [26] used only coracoid transposition and obtained better mid-term outcomes compared with the Weaver–Dunn procedure in young patients [27]. Although transposition of the coracoid with the conjoint tendon reinforces the reconstructed coracoacromial ligament, it involves a greater risk of coracoid fracture and musculocutaneous nerve injury; furthermore, bone cerclage may result in coracoid or clavicle osteolysis.…”

The anatomic coracoclavicular ligament reconstruction: Surgical technique and indications

“…These include ligamentoplasty procedures, 12,40,50 muscle transfers, 2,4,18,20,31,49 and ligament reconstruction with autologous, allogeneic, or synthetic materials. 1,5,10,11,13,19,21,25,27,30,35,36,41,44,45,48,52 Ligamentoplasty is the transfer of a portion of an existing ligament, most commonly the coracoacromial (CA) ligament.…”

Coracoclavicular ligament reconstruction using the lateral half of the conjoined tendon

“…34 Transfer of the coracoid, relying on the dynamic function of the distally attached conjoined tendon to stabilize the distal clavicle, has also been reported. 4,10,12,16 Today, one of the most widely used surgical procedures for the reconstruction of a high-grade AC joint separation is the Weaver-Dunn technique. 34 Reported in 1972, the Weaver-Dunn procedure uses the CA ligament as a proximally based transfer to reconstruct the CC ligament complex.…”