Clinical Results of Single-Tunnel Coracoclavicular Ligament Reconstruction Using Autogenous Semitendinosus Tendon

Abstract

Single-tunnel CC reconstruction with an autogenous hamstring tendon graft after a mean follow-up of 33 months (range, 18-47) appears to be a satisfactory means of treating acute Rockwood type IV, V, chronic type III, and painful nonunited distal clavicle fractures with CC separation.

Two-Year Outcomes After Primary Anatomic Coracoclavicular Ligament Reconstruction

“…Several other authors have found similar results after ACCR with tendon grafts. [32][33][34][35][36][37][38][39][40] In our study the mean ASES score improved from 58.9 preoperatively to 93.8 postoperatively, with a high median patient satisfaction rating of 9 of 10.…”

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

“…Loss of reduction in clinical series ranges between 15 and 80 % [19][20][21][22]. Not all patients are symptomatic, and the decision for revision should be based on patient's symptoms and not on radiographic findings.…”

Acromioclavicular joint injuries: indications for treatment and treatment options

“…Weighted stress radiographs of the AC joint have been used to differentiate a type II from an occult type III injury, 41 but studies indicate that these views do not improve the diagnostic accuracy of this injury. 93 The AP radiograph of the shoulder is best used for evaluating vertical CC translation, and the axillary radiograph best identifies posterior dislocations (Fig. 4).…”

“…Although this technique uses a semitendinosus graft, its biomechanical characteristics are dependent on the three #5 Ethibond sutures, which have biomechanical characteristics similar to those of other rigid fixation techniques. 93 Endobutton (flip-button) device techniques for CC ligament repair have been reported to provide satisfactory outcomes through open and arthroscopic techniques (Fig. 9).…”