Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace

IF 1.2 Q3 ORTHOPEDICS

Arthroscopy Techniques Pub Date : 2025-01-01 DOI:10.1016/j.eats.2024.103154

Ayyappan V. Nair D.Ortho, D.N.B., M.N.A.M.S., Pramod Kumar Mohan M.S. Ortho., Ajit Jangale M.S., M.R.C.S., Pavan Krishna M.S. Ortho., Prince Shanavas Khan D.Ortho, M.S. Ortho., Maythilisharan Rambhojun M.S. Ortho., Sreejith Thampy M.S. Ortho.

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Abstract

We present an arthroscopic technique for chronic acromioclavicular joint dislocations that involves reconstructing the acromioclavicular and coracoclavicular ligaments using an autogenous gracilis tendon graft reinforced with FiberTape. We describe the technique using 2 tunnels in the clavicle and a coracoid tunnel to re-create the anatomic double-bundle coracoclavicular ligaments and also reconstruct the acromioclavicular ligament, providing both horizontal and vertical stability for the acromioclavicular joint. The advantage of our technique is the reduced use of implants and also providing stable reconstruction, a good chance for tendon integration into the coracoid, and fewer recurrences due to graft stretching, enabling good stability to the joint.

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使用纤维胶带内支架加固的双束自体肱骨肌腱移植物，在关节镜下对慢性肩锁关节脱位进行 "V "型解剖重建

我们提出了一种关节镜治疗慢性肩锁关节脱位的技术，包括使用纤维带增强的自体股薄肌腱移植重建肩锁韧带和喙锁韧带。我们描述了使用锁骨的两条隧道和喙状隧道重建解剖双束喙锁韧带和重建肩锁韧带的技术，为肩锁关节提供水平和垂直稳定性。我们技术的优点是减少了植入物的使用，并且提供了稳定的重建，使肌腱有很好的机会融入喙骨，并且由于移植物拉伸而减少复发，从而使关节具有良好的稳定性。

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