Abstract
We describe the use of a double-strand peroneus brevis allograft to reconstruct the
coracoclavicular and acromioclavicular (AC) joint ligaments. Through sharp dissection,
the distal clavicle, the AC joint, and the torn superior AC and coracoacromial ligaments
are identified. The coracoid process and injured coracoclavicular ligaments are identified
with blunt dissection. A 1-cm segment of the lateral clavicle is resected. Vertical
and connecting horizontal tunnels are created (4.5 mm) in the lateral clavicle and
in the medial acromion process. The 5.5- to 6.0-mm-diameter allograft is looped around
the coracoid process, and both strands are passed through the vertical clavicle tunnel
with a nitinol wire loop. One strand passes through the vertical clavicle tunnel,
and the other strand passes through the horizontal tunnel, exiting through the lateral
end. The allograft strand passed through the vertical clavicle tunnel is then passed
inferiorly through the superior vertical acromion tunnel, and the strand passed completely
through the horizontal clavicle tunnel is passed laterally through the medial horizontal
acromion tunnel. After both strands exit inferiorly through the vertical acromion
tunnel, they are tensioned and sutured with AC joint reduction. Soft tissue closure
uses No. 0 and No. 2-0 absorbable sutures with No. 3-0 nylon sutures at the skin.
Key Words
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Article info
Footnotes
The authors report no conflict of interest.
Cite this article as: Gonzalez R, Damacen H, Nyland J, Caborn D. Acromioclavicular joint reconstruction using peroneus brevis tendon allograft. Arthroscopy 2007;23:788.e1-788.e4 [doi:10.1016/j.arthro.2006.09.006].
Identification
Copyright
© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
