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Open anatomical coracoclavicular ligament reconstruction using a tendon graft with an Endobutton loop
Nagraj S Shetty1, Yon S Yoo, Do Y Kim
1Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.
Acta Orthopaedica Belgica
|February 20, 2010
Summary
This study presents an open anatomical coracoclavicular ligament reconstruction technique. It restores both conoid and trapezoid ligaments for acromioclavicular joint stability with minimal anatomical disruption.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomical Reconstruction
Background:
- Acromioclavicular (AC) joint instability often requires coracoclavicular ligament reconstruction.
- Restoring native anatomy and function is crucial for optimal outcomes.
Purpose of the Study:
- To describe a reproducible open anatomical coracoclavicular ligament reconstruction technique.
- To achieve maximum AC joint stability while preserving normal anatomy and kinematics.
Main Methods:
- Open anatomical reconstruction of both conoid and trapezoid ligaments.
- Creation of transosseous tunnels at native ligament footprints.
- Fixation with an autologous graft, Endobutton, and PEEK screw.
Main Results:
- Successful restoration of both parts of the coracoclavicular ligament.
- Preservation of normal AC joint kinematics and anatomy.
- Cosmetically acceptable scar and low post-operative morbidity.
Conclusions:
- This open anatomical technique effectively reconstructs the coracoclavicular ligament.
- It offers a reproducible, cost-effective method for AC joint stabilization with excellent functional restoration.