Reconstruction of the Acromioclavicular Joint, its Superior Capsule, and Coracoclavicular Ligaments Using an Interpositional Acellular Dermal Matrix and Tibialis Tendon Allograft

Acromioclavicular (AC) separations are one of the most common shoulder injuries that may lead to pain, disability, and dysfunction of the shoulder girdle. Over 100 different surgical procedures have been described in the literature for the treatment of this injury. Initial surgical repairs were nonanatomic and nonbiological. In recent years, allograft reconstruction has become accepted for the treatment of chronic separations, but most reconstructions are aimed at restoring the coracoclavicular ligaments. Very little attention has been placed on the reconstruction of the AC joint itself. The technique described is an anatomic, biological reconstruction of the coracoclavicular ligaments to restore stability in the vertical plane, and of the AC joint to restore stability in the horizontal plane.
Source: Techniques in Shoulder and Elbow Surgery - Category: Orthopaedics Tags: Techniques Source Type: research