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Clin Shoulder Elbow > Volume 11(1); 2008 > Article
Journal of the Korean Shoulder and Elbow Society 2008;11(1):46-52.
DOI: https://doi.org/10.5397/CiSE.2008.11.1.046    Published online June 30, 2008.
Coracoclavicular Ligaments Reconstruction for Acromioclavicular Dislocation using Two Suture Anchors and Coracoacromial Ligament Transfer
Sang Jin Shin, Kwon Jae Roh, Byoung jin Jeong
Department of Orthopedic Surgery, School of Medicine, Ewha Womans University, Seoul, Korea. sjshin622@ewha.ac.kr
견봉 쇄골 탈구의 봉합 나사못과 오구 견봉 인대 이전술을 이용한 오구 쇄골 인대 재건술
신상진·노권재·정병진
이화여자대학교 의학전문대학원 정형외과학교실
Abstract
PURPOSE
This study examined the outcomes of reconstruction of the coracoclavicular ligaments with using two suture anchors and performing coracoacromial ligament transfer in patients with acromioclavicular dislocation. MATERIAL AND METHODS: Forty patients with complete acromioclavicular dislocation were included in this study. According to the preoperative radiographs, 5 patients with AC dislocations were diagnosed as type III, 4 patients as type IV and 31 patients as type V. Two 3.5mm suture anchors with four strands of nonabsorbable sutures were separately placed on the anterolateral and posteromedial portion of the base of the coracoid process to stabilize the distal clavicle. The coracoacromial ligament was then transferred to the undersurface of the distal end of the clavicle for augmentation.
RESULTS
At a mean follow-up of 28 months, the average Constant score improved to 97 points. All the patients returned to normal life at an average of 3.2 months postoperatively. At the last follow-up, 37 patients achieved anatomical reduction and three patients showed complete redislocation. However, the clinical results of the patients with redislocation were satisfactory.
CONCLUSION
Anatomical coracoclavicular reconstruction using two suture anchors and coracoacromial ligament transfer for treating complete acromioclavicular dislocation is a safe, effective procedure for restoring a physiologically stable acromioclavicular joint.
Key Words: Acromioclavicular dislocation; Suture anchors; Coracoacromial ligaments; Reconstruction


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