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. 2012 Feb 16;1(1):e11-4.
doi: 10.1016/j.eats.2011.12.006. Print 2012 Sep.

All-arthroscopic double-bundle coracoclavicular ligament reconstruction using autogenous semitendinosus graft: a new technique

Juha O Ranne  1 , Janne J Sarimo, Mark I Rawlins, Olli J Heinonen, Sakari Y Orava
Affiliations

All-arthroscopic double-bundle coracoclavicular ligament reconstruction using autogenous semitendinosus graft: a new technique

Juha O Ranne et al. Arthrosc Tech. .

Abstract

We present our novel arthroscopic anatomic double-bundle coracoclavicular ligament reconstruction technique using a semitendinosus tendon autograft. The dorsal limb of the graft is positioned around the dorsal edge of the clavicle, re-creating the conoid ligament. The anterior limb proceeds superiorly and re-creates the trapezoid ligament. The solution effectively stabilizes the acromioclavicular joint and prevents anterior posterior translation. This new arthroscopic double-bundle coracoclavicular joint reconstruction is an effective and reliable method in stabilizing the clavicle and neutralizing the anterior-posterior translation, and we find it to be technically practical for the surgeon.

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Figures

Figure 1
Figure 1
The semitendinosus graft first runs through the clavicular and coracoid drill holes; turns up, around the dorsal edge of the clavicle; and runs again through the clavicular drill hole. Right shoulder, anteromedial view.
Figure 2
Figure 2
(A) Alignment of graft and fixation apparatus shown anteriorly in right shoulder. (B) A 5.5-mm polyether ether ketone interference screw is inserted to fix the graft limbs into the clavicular drill hole in a right shoulder. The arrowheads indicate the direction of the graft.
Figure 3
Figure 3
Finished double-bundle reconstruction of right shoulder seen from lateral portal. The anterior limb is seen to the right with the No. 5 FiberWire sutures (small arrowheads). The dorsal limb is seen to the left (large arrowhead).
Figure 4
Figure 4
The postoperative radiograph of the right shoulder shows the reduced clavicle, the GraftWasher on the clavicle, and the BicepsButton under the coracoid.
See this image and copyright information in PMC

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