Coracoclavicular Ligament Reconstruction for Acromioclavicular Dislocation Using 2 Suture Anchors and Coracoacromial Ligament Transfer

2009 ◽  
Vol 37 (2) ◽  
pp. 346-351 ◽  
Author(s):  
Sang-Jin Shin ◽  
Yeo-Hon Yun ◽  
Jae Doo Yoo
Keyword(s):  
Ligament Reconstruction ◽  
Coracoclavicular Ligament ◽  
Suture Anchors ◽  
Acromioclavicular Dislocation ◽  
Coracoacromial Ligament ◽  
Coracoclavicular Ligament Reconstruction

scholarly journals Suture Augmentation of Acromioclavicular and Coracoclavicular Ligament Reconstruction for Acute Acromioclavicular Dislocation

2021 ◽  
Author(s):  
Yingliang Liu ◽  
Yadong Yu ◽  
Weifeng Ding ◽  
Yong Gao ◽  
Yanting Wang ◽  
...  
Keyword(s):  
Los Angeles ◽  
Ligament Reconstruction ◽  
Rating Scale ◽  
Scoring Systems ◽  
University Of California ◽  
Coracoclavicular Ligament ◽  
Acromioclavicular Dislocation ◽  
Reliable Technique ◽  
Coracoclavicular Ligament Reconstruction ◽  
The University

Abstract PurposeThe objective of this report was to introduce a new suture augmentation of coracoclavicular and acromioclavicular ligament reconstruction for acute Rockwood grade III to V acromioclavicular dislocations.MethodsFrom January 2015 to January 2019, 43 patients with Rockwood III to VI acute acromioclavicular dislocations were retrospective reviewed. The outcome evaluations included coracoclavicular space, loss of reduction, and acromioclavicular space. The Disabilities of the Arm, Shoulder, and Hand questionnaire was used to assess the limb function. Clinical evaluation of patients was performed using the University of California-Los Angeles scoring systems. For comparison, another series of 28 patients treated with double Endobutton technique from January 2011 to December 2014 was reviewed. A P<0.05 was considered statistical significance.ResultsThe mean follow-up period of the two series were 39.69±7.42 months (range, 24–54 months) and37.86±8.23 months (range, 26–48 months) (P>0.05), respectively. There were significant differences regarding coracoclavicular space (11.62±2.54 mm vs 16.78±5.53 mm; P<0.05), coracoclavicular reduction loss (5.56±4.73 mm vs 26.25±4.42 mm; P<0.05), and acromioclavicular space (6.89±1.87 mm vs 7.95±2.37 mm; P<0.05). There were significant differences regarding the Disabilities of the Arm, Shoulder, and Hand questionnaire (3.3±2.8 vs 5.32±4.37; P<0.05) and University of California-Los Angeles Shoulder rating scale (31.19±2.48 vs 29.24±2.48; P<0.05). The excellent to good percentages were 100 % (n=32) and 85% (n=23), respectively. ConclusionsIn conclusion, the suture augmentation of acromioclavicular and coracoclavicular ligament reconstruction is reliable technique for acute acromioclavicular dislocation with minimal complications.Type of study/level of evidenceTherapeutic IIa.

Cyclical Loading of Coracoclavicular Ligament Reconstructions

2008 ◽  
Vol 36 (10) ◽  
pp. 1990-1997 ◽  
Author(s):  
Steven J. Lee ◽  
Eric P. Keefer ◽  
Malachy P. McHugh ◽  
Ian J. Kremenic ◽  
Karl F. Orishimo ◽  
...  
Keyword(s):  
Ligament Reconstruction ◽  
Acromioclavicular Joint ◽  
Semitendinosus Tendon ◽  
Coracoclavicular Ligament ◽  
Coracoclavicular Ligaments ◽  
Coracoacromial Ligament ◽  
Loading Cycle ◽  
Coracoclavicular Ligament Reconstruction ◽  
N Loading ◽  
Semitendinosus Graft

Background Reconstruction for injuries to the acromioclavicular joint remains controversial. Hypothesis A coracoclavicular ligament reconstruction with a semitendinosus tendon would have superior performance to the classic coracoacromial ligament transfer with or without augmentation. Study Design Controlled laboratory study. Methods Five cadaveric shoulders were used to reconstruct the coracoclavicular ligaments with 3 methods: coracoacromial ligament transfer without augmentation, coracoacromial ligament transfer augmented with No. 5 Ethibond suture, and a semitendinosus tendon. Each reconstruction was cyclically loaded at 40 N to 80 N for 2500 cycles, then from 40 N to 210 N for 2500 cycles, followed by loading to failure. The number of cycles to 50% and 100% loss of acromioclavicular joint reduction were recorded. Results During the 40 N to 80 N-loading cycle, the coracoacromial transfer without augmentation failed (15 ± 16 cycles). The augmented coracoacromial ligament transfer and the semitendinosus reconstruction did not fail ( P = .008). During the 40 N to 210 N-loading cycle, the augmented coracoacromial ligament transfer failed (207 ± 399 cycles). The semitendinosus reconstruction survived through both loading cycles ( P < .01). Conclusion Coracoclavicular ligament reconstruction with a semitendinosus graft is a biomechanically superior construct in a cyclically loaded setting to a coracoacromial ligament transfer augmented with a No. 5 Ethibond suture. Clinical Relevance The semitendinosus graft is a strong, biologic option for reconstruction of the coracoclavicular ligaments.

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