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Updated: Jul 13, 2026
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Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
Acromioclavicular joint reconstruction using peroneus brevis tendon allograft
Ruben Gonzalez1, Harvey Damacen, John Nyland
1Department of Orthopaedic Surgery, Division of Sports Medicine, University of Louisville, Louisville, Kentucky 40202, USA.
Summary
This study details a surgical technique using a peroneus brevis allograft to repair torn coracoclavicular and acromioclavicular (AC) joint ligaments. The method reconstructs these crucial shoulder ligaments for improved stability and function.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomaterials Science
Background:
- Acromioclavicular (AC) joint injuries often involve damage to the coracoclavicular (CC) ligaments, necessitating robust surgical reconstruction.
- Traditional methods for AC joint instability can have limitations, driving the need for innovative graft materials and techniques.
Observation:
- A novel surgical technique utilizing a double-strand peroneus brevis allograft for AC joint ligament reconstruction is described.
- The procedure involves creating specific bone tunnels in the clavicle and acromion to securely anchor the allograft.
Findings:
- The allograft is passed around the coracoid process and secured through clavicular and acromial tunnels, effectively reconstructing the CC and AC joint ligaments.
- Tensioning and suturing of the allograft facilitate AC joint reduction, with layered closure using absorbable and non-absorbable sutures.
Implications:
- This technique offers a viable option for reconstructing complex AC joint injuries, potentially improving patient outcomes.
- The use of a peroneus brevis allograft provides a strong biological scaffold for ligamentous repair in shoulder instability.
- Further research may explore the long-term efficacy and biomechanical properties of this allograft reconstruction method.