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Published on: May 9, 2025
Arthroscopic coracoclavicular ligament reconstruction using biologic and suture fixation
William T Pennington1, David J Hergan, Brian A Bartz
1Orthopaedic Surgeons of Wisconsin, Franklin, Wisconsin 53132, USA. WmTPennington@aol.com
Summary
This study presents a modified arthroscopic technique for acromioclavicular (AC) joint reconstruction using suture and allograft fixation. The novel approach enhances AC joint stability and repair outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopic Techniques
Background:
- Acromioclavicular (AC) joint injuries often require surgical reconstruction.
- Traditional open methods can lead to significant morbidity.
- Minimally invasive arthroscopic techniques are increasingly preferred.
Purpose of the Study:
- To describe a modified arthroscopic approach for AC joint reconstruction.
- To detail the use of suture and allograft fixation in this procedure.
- To evaluate the feasibility and technique of this modified arthroscopic reconstruction.
Main Methods:
- Arthroscopic exposure of the coracoid base and creation of clavicular/coracoid tunnels.
- Use of a semitendinosus allograft secured to a Spider plate.
- Passage of FiberTape sutures and allograft through tunnels for fixation.
- Tensioning of the allograft and fixation with a Bio-tenodesis screw.
Main Results:
- The described technique allows for arthroscopic AC joint reconstruction.
- Allograft fixation is achieved using suture and specialized hardware.
- The procedure involves precise tunnel creation and graft tensioning.
Conclusions:
- This modified arthroscopic technique offers a viable option for AC joint reconstruction.
- The use of suture and allograft fixation provides a stable repair.
- Further studies are warranted to assess long-term outcomes.