Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

Ardebol, Javier; Hwang, Simon; Horinek, Jeffrey L.; Parsons, Bradford O.; Denard, Patrick J.

doi:10.1016/j.eats.2022.11.010

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Surgical Techniques2

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2024

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“…Disadvantages are the technically challenging nature of the procedure, risk of iatrogenic or postoperative fracture of clavicle/acromion, graft failure, and risk to neurovascular structures. 3 …”

Section: Surgical Techniquesmentioning

confidence: 99%

“…This is especially true as you create increasingly larger diameter holes in the coracoid, clavicle, and acromion. 3 , 4 , 8 , 17 , 18 , 34 Creating anatomically accurate ligament footprints during reconstruction carries a notable risk of cortical breach and fracture. 51 , 54 Additionally, the size of the tunnels, particularly in the clavicle, is crucial, as larger tunnels can increase the risk of fractures.…”

Section: Surgical Techniquesmentioning

confidence: 99%

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