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Updated: Jan 20, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
Published on: December 10, 2021
A Modified Arthroscopic Technique of Gracilis Tendon Graft with Double Fixation System for Treatment of Type V
Mikel Aramberri-Gutiérrez1, Albert Ferrando1,2, Giovanni Tiso D'Orazio1
1Shoulder and Sports Medicine Unit, Alai Sports Medicine Clinic, Madrid, Spain.
Case:
A 48-year-old male patient with a type V acromioclavicular injury with a 3-tendon acute cuff tear, anterior glenohumeral dislocation, and an axillary posttraumatic neuropathy is presented. The rotator cuff tear was sutured and an all-arthroscopic-modified coracoclavicular ligaments (CCLs) reconstruction technique was performed with a gracilis tendon graft and a double knotless suture fixation system.
Conclusions:
An arthroscopic approach allows the surgeon to identify and treat associated glenohumeral lesions in type V acromioclavicular dislocations. In addition, the modified CCL reconstruction technique addresses effectively the AC instability.
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