Arthroscopically Assisted Acromioclavicular and Coracoclavicular Reconstruction with a Looped Braided Polyester Suture Band and Buckle Device.

Authors

Kurt E Stoll, Rothman Institute of Orthopaedics at Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, U.S.A.
Benjamin Hendy, Rothman Institute of Orthopaedics at Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, U.S.A.
Treg Brown, The Orthopaedic Institute, Carbondale, Illinois, U.S.A.
Nathaniel Cohen, OrthoNorCal, Los Gatos, California, U.S.A.
Thay Q Lee, Orthopaedic Biomechanics Laboratory, Congress Medical Foundation, Pasadena, California, U.S.A.
Surena Namdari, Rothman Institute of Orthopaedics at Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, U.S.A.
Phil Davidson, Davidson Orthopedics, Salt Lake City, Utah, U.S.A.

Document Type

Article

Publication Date

5-1-2022

Comments

This article is the author's final published version in Arthroscopy Techniques, Volume 11, Issue 5, May 2022, Pages e819 - e826.

The published version is available at https://doi.org/10.1016/j.eats.2021.12.042.

Copyright © 2022 Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Abstract

Acromioclavicular (AC) joint injuries occur with a traumatic load to the lateral aspect of the shoulder and account for 9% of all shoulder girdle injuries. Rockwood classified AC joint injuries as type I though type VI, based on severity of injury, radiographic findings, and reducibility of the AC joint. Type I and II injuries are typically managed nonoperatively, whereas type IV, V, and VI are managed operatively to address the significant soft tissue disruption, persistent AC joint instability, and apical shoulder deformation. Treatment of type III injuries remain controversial. Several techniques have been described to treat AC joint injuries with no consensus for optimal treatment. "Anatomic" double-tunnel coracoclavicular ligament reconstruction is one currently popular technique to address AC joint injuries; however, clavicle and coracoid fractures are well-described complications of this technique. The objective of this technical report is to describe our preferred technique to address AC joint injuries. This technique involves using a looped braided polyester prosthetic band and low-profile buckle with allograft augmentation using a device to pass materials around the coracoid process.

Recommended Citation

Stoll, Kurt E; Hendy, Benjamin; Brown, Treg; Cohen, Nathaniel; Lee, Thay Q; Namdari, Surena; and Davidson, Phil, "Arthroscopically Assisted Acromioclavicular and Coracoclavicular Reconstruction with a Looped Braided Polyester Suture Band and Buckle Device." (2022). Rothman Institute Faculty Papers. Paper 173.
https://jdc.jefferson.edu/rothman_institute/173

Creative Commons License

This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Language

English