scholarly journals Arthroscopic Technique for Stabilization of Chronic Acromioclavicular Joint Instability With Coracoclavicular and Acromioclavicular Ligament Reconstruction Using a Gracilis Tendon Graft

2017 ◽  
Vol 6 (1) ◽  
pp. e175-e181 ◽  
Author(s):  
Nina Pühringer ◽  
Jens Agneskirchner
Keyword(s):  
Joint Instability ◽  
Ligament Reconstruction ◽  
Acromioclavicular Joint ◽  
Tendon Graft ◽  
Gracilis Tendon ◽  
Arthroscopic Technique ◽  
Acromioclavicular Joint Instability ◽  
Gracilis Tendon Graft

scholarly journals Functional outcome following coracoclavicular ligament reconstruction using a gracilis tendon graft for acute type III acromioclavicular dislocation: a case report

2018 ◽  
Vol 6 (8) ◽  
pp. 2836
Author(s):  
Made Tusan Sidharta ◽  
I. Gusti Ngurah Wien Aryana ◽  
I. B. Arimbawa
Keyword(s):  
Ligament Reconstruction ◽  
Acromioclavicular Joint ◽  
Tendon Graft ◽  
Left Shoulder ◽  
Acute Type ◽  
Coracoclavicular Ligament ◽  
Gracilis Tendon ◽  
Type Iii ◽  
Coracoclavicular Ligament Reconstruction ◽  
Gracilis Tendon Graft

The acromioclavicular joint is stabilized by two ligaments: the acromioclavicular ligaments and coracoclavicular ligaments. AC joint dislocations account for 9% to 10% of all shoulder injuries. Tossy and Allman classified acromioclavicular dislocations into three types (I, II and III). This classification was modified by Rockwood (types IV, V, and VI). Type I and II dislocations are treated conservatively. Surgery is indicated for certain Rockwood type III and for all type IV, V, and VI injuries. A 45 years old man yoga trainer presented to our emergency department with a chief complaint of pain over his left shoulder after had traffic accident 3 hours prior to admission. Physical examination revealed left lateral clavicular end prominent and tenderness over the left shoulder with limited range of motion due to pain. A Zanca view X-Ray of left shoulder was performed and revealed dislocation of acromioclavicular joint. The patient was diagnosed with suspect Left AC joint disruption grade III. We performed coracoclavicular ligament reconstruction using a gracilis tendon graft 2 days after the accident. Before the surgery, constant score of the patient left shoulder was 25 (Fair). The constant score measured was 63 after 10 month follow up. Coracoclavicular ligament reconstruction with an autogenous gracilis tendon graft was feasible and safe in physically active patients with acute type-III acromioclavicular joint dislocation.

scholarly journals Posterior cruciate ligament and posterolateral corner reconstruction in patient with multiple ligament injury of the knee: a case report

2020 ◽  
Vol 8 (9) ◽  
pp. 3374
Author(s):  
I. Gusti Ngurah Wien Aryana ◽  
Putu Kermawan
Keyword(s):  
Posterior Cruciate Ligament ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Tendon Graft ◽  
Posterolateral Corner ◽  
Semitendinosus Tendon ◽  
Ligament Injury ◽  
Gracilis Tendon ◽  
Gracilis Tendon Graft ◽  
Posterolateral Corner Reconstruction

The treatment of posterolateral corner (PLC) knee injuries has always been a challenging topic due to the low healing capacity of PLC injuries. Authors performed posterior cruciate ligament reconstruction using semitendinosus tendon graft and reconstruction procedure of PLC using free gracilis tendon graft with LaPrade technique in a patient with multiple ligament injury of the knee. A 36-years-old male patient complained of pain on his right knee. On physical examination, the posterior drawer test, dial test, and varus stress test were positive. Magnetic resonance imaging (MRI) on right knee showed that the posterior cruciate ligament (PCL), lateral collateral ligament, and popliteofibular ligament were injured but the popliteus tendon was still intact. A semitendinosus tendon was harvested from the ipsilateral pes anserinus region for posterior cruciate ligament reconstruction. Posterolateral corner reconstruction was done by grafting two gracilis tendons from ipsilateral and contralateral sides using LaPrade technique. The semitendinosus tendon graft had been used for PCL reconstruction in some cases besides the hamstring tendon graft and provides a clinically evident reduction in symptoms and restores satisfactory stability. The LaPrade technique for PLC reconstruction was one of the earliest descriptions of a surgical option to recreate the anatomy of the three main static stabilizers of the PLC.  We reported a reconstructive procedure for PCL and PLC injury of the knee by using semitendinosus and gracilis tendon graft with LaPrade technique.

A Modified Arthroscopic Technique of Gracilis Tendon Graft with Double Fixation System for Treatment of Type V Acromioclavicular Injuries

2019 ◽  
Vol 9 (3) ◽  
pp. e0234-e0234
Author(s):  
Mikel Aramberri-Gutiérrez ◽  
Albert Ferrando ◽  
Giovanni Tiso D'Orazio ◽  
Fernando Sines Castro ◽  
Iñaki Mediavilla
Keyword(s):  
Tendon Graft ◽  
Gracilis Tendon ◽  
Arthroscopic Technique ◽  
Gracilis Tendon Graft ◽  
Type V ◽  
Fixation System
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