Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion Daniel B. Haber, M.D., Petar.

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Presentation transcript:

Primary Acromioclavicular-Coracoclavicular Reconstruction Using 2 Allografts, TightRope, and Stabilization to the Acromion Daniel B. Haber, M.D., Petar Golijanin, B.S., Genevra L. Stone, M.D., Anthony Sanchez, B.S., Colin P. Murphy, B.A., Liam A. Peebles, B.A., Connor G. Ziegler, M.D., Jonathan A. Godin, M.D., M.B.A., Jake A. Fox, B.S., CAPT Matthew T. Provencher, M.D., M.C., U.S.N.R. Arthroscopy Techniques Volume 8, Issue 2, Pages e147-e152 (February 2019) DOI: 10.1016/j.eats.2018.10.006 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Initial incision. It should be centered approximately 2 to 3 cm medial to the AC joint, measuring approximately 6 cm in length (incision, white arrow). Shoulder in beach chair position. Arthroscopy Techniques 2019 8, e147-e152DOI: (10.1016/j.eats.2018.10.006) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 Reaming of superior cortex of the clavicle. A unicortical reamer is placed over a cannulated drill bit to accomplish this (clavicle, white arrow). Shoulder in beach chair position. Arthroscopy Techniques 2019 8, e147-e152DOI: (10.1016/j.eats.2018.10.006) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 An additional acromial tunnel is drilled (acromion, white arrow). Shoulder in beach chair position. Arthroscopy Techniques 2019 8, e147-e152DOI: (10.1016/j.eats.2018.10.006) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 4 Clavicle reduction. A clavicle Dog Bone Button is loaded to the suture and tensioned securely against the superior clavicle until the clavicle is fully reduced (Dog Bone Button, white arrow). Shoulder in beach chair position. Arthroscopy Techniques 2019 8, e147-e152DOI: (10.1016/j.eats.2018.10.006) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 5 Medial and lateral limbs of the first graft are crossed and sutured to reconstruct the conoid ligament (crossed graft limbs, white arrow). Shoulder in beach chair position. Arthroscopy Techniques 2019 8, e147-e152DOI: (10.1016/j.eats.2018.10.006) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions