Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace

We present an arthroscopic technique for chronic acromioclavicular joint dislocations that involves reconstructing the acromioclavicular and coracoclavicular ligaments using an autogenous gracilis tendon graft reinforced with FiberTape. We describe the technique using 2 tunnels in the clavicle and a...

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Main Authors: Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S., Pramod Kumar Mohan, M.S. Ortho., Ajit Jangale, M.S., M.R.C.S., Pavan Krishna, M.S. Ortho., Prince Shanavas Khan, D.Ortho, M.S. Ortho., Maythilisharan Rambhojun, M.S. Ortho., Sreejith Thampy, M.S. Ortho.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724002792
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author Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
Pramod Kumar Mohan, M.S. Ortho.
Ajit Jangale, M.S., M.R.C.S.
Pavan Krishna, M.S. Ortho.
Prince Shanavas Khan, D.Ortho, M.S. Ortho.
Maythilisharan Rambhojun, M.S. Ortho.
Sreejith Thampy, M.S. Ortho.
author_facet Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
Pramod Kumar Mohan, M.S. Ortho.
Ajit Jangale, M.S., M.R.C.S.
Pavan Krishna, M.S. Ortho.
Prince Shanavas Khan, D.Ortho, M.S. Ortho.
Maythilisharan Rambhojun, M.S. Ortho.
Sreejith Thampy, M.S. Ortho.
author_sort Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
collection DOAJ
description We present an arthroscopic technique for chronic acromioclavicular joint dislocations that involves reconstructing the acromioclavicular and coracoclavicular ligaments using an autogenous gracilis tendon graft reinforced with FiberTape. We describe the technique using 2 tunnels in the clavicle and a coracoid tunnel to re-create the anatomic double-bundle coracoclavicular ligaments and also reconstruct the acromioclavicular ligament, providing both horizontal and vertical stability for the acromioclavicular joint. The advantage of our technique is the reduced use of implants and also providing stable reconstruction, a good chance for tendon integration into the coracoid, and fewer recurrences due to graft stretching, enabling good stability to the joint.
format Article
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institution Kabale University
issn 2212-6287
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series Arthroscopy Techniques
spelling doaj-art-7cc70ae4f0b14ec7b1baccd0101f9dda2025-01-30T05:14:04ZengElsevierArthroscopy Techniques2212-62872025-01-01141103154Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal BraceAyyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.0Pramod Kumar Mohan, M.S. Ortho.1Ajit Jangale, M.S., M.R.C.S.2Pavan Krishna, M.S. Ortho.3Prince Shanavas Khan, D.Ortho, M.S. Ortho.4Maythilisharan Rambhojun, M.S. Ortho.5Sreejith Thampy, M.S. Ortho.6From the Bangalore Shoulder Institute, Bangalore, IndiaAddress correspondence to Pramod Kumar Mohan, M.S. Ortho, Bangalore Shoulder Institute, 40,36th cross, 23rd Main Road, 4th T Block East, Jayanagar, Bangalore 560041, Karnataka, India.; From the Bangalore Shoulder Institute, Bangalore, IndiaFrom the Bangalore Shoulder Institute, Bangalore, IndiaFrom the Bangalore Shoulder Institute, Bangalore, IndiaFrom the Bangalore Shoulder Institute, Bangalore, IndiaFrom the Bangalore Shoulder Institute, Bangalore, IndiaFrom the Bangalore Shoulder Institute, Bangalore, IndiaWe present an arthroscopic technique for chronic acromioclavicular joint dislocations that involves reconstructing the acromioclavicular and coracoclavicular ligaments using an autogenous gracilis tendon graft reinforced with FiberTape. We describe the technique using 2 tunnels in the clavicle and a coracoid tunnel to re-create the anatomic double-bundle coracoclavicular ligaments and also reconstruct the acromioclavicular ligament, providing both horizontal and vertical stability for the acromioclavicular joint. The advantage of our technique is the reduced use of implants and also providing stable reconstruction, a good chance for tendon integration into the coracoid, and fewer recurrences due to graft stretching, enabling good stability to the joint.http://www.sciencedirect.com/science/article/pii/S2212628724002792
spellingShingle Ayyappan V. Nair, D.Ortho, D.N.B., M.N.A.M.S.
Pramod Kumar Mohan, M.S. Ortho.
Ajit Jangale, M.S., M.R.C.S.
Pavan Krishna, M.S. Ortho.
Prince Shanavas Khan, D.Ortho, M.S. Ortho.
Maythilisharan Rambhojun, M.S. Ortho.
Sreejith Thampy, M.S. Ortho.
Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace
Arthroscopy Techniques
title Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace
title_full Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace
title_fullStr Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace
title_full_unstemmed Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace
title_short Arthroscopic “V” Configuration Anatomic Reconstruction of Chronic Acromioclavicular Joint Dislocations Using Double-Bundled Autogenous Gracilis Tendon Graft Reinforced With FiberTape Internal Brace
title_sort arthroscopic v configuration anatomic reconstruction of chronic acromioclavicular joint dislocations using double bundled autogenous gracilis tendon graft reinforced with fibertape internal brace
url http://www.sciencedirect.com/science/article/pii/S2212628724002792
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