A Modified Arthroscopic Technique of Gracilis Tendon Graft with Double Fixation System for Treatment of Type V Acromioclavicular Injuries: A Case Report. Issue 3 (July 2019)

• Record Type: Journal Article
• Authors: Aramberri-Gutiérrez, Mikel; Ferrando, Albert; Tiso D'Orazio, Giovanni; Sines Castro, Fernando; Mediavilla, Iñaki
• Is Part Of: JBJS case connector. Volume 9:Issue 3(2019)
• Publication Date: 2019-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.18.00234
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : 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.