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Orthopedic Research Online Journal

Anatomical Three-Point Coracoclavicular Ligament Reconstruction: A Surgical Technique

Submission: September 30, 2022Published: October 13, 2022

DOI: 10.31031/OPROJ.2022.10.000730

ISSN : 2576-8875
Volume10 Issue1


Introduction:Acromioclavicular joint reconstruction is a frequently performed procedure for high-grade Rockwood injuries. Scientific and commercial interest has led to the development and performance of surgical techniques that more reliably restore horizontal stability to improve patient outcomes. Therefore, we have adopted a modified surgical technique. We present clinical and radiological findings from our experience at a single institution using a three-point anatomical reconstruction of the coracoclavicular ligament. We questioned (i) Quality of reduction, (ii) Complication rate, (iii) Clinical function in terms of ASES, OSS, VAS scores, (iv) Time to return to work.

Materials & Methods:Retrospective analysis of patients with acute ACL dislocation (Rockwood types III-V) from 2015 to 2019. Nineteen patients, with a mean age of 41 years, had a mean clinical and/or radiological follow-up of 20 months. The coracoclavicular distance was measured and compared on preoperative, postoperative, and follow-up radiological images. Clinical assessment was done using the above-mentioned scores. The time required to return to work was recorded..

Results: The difference in coracoclavicular distance was significant between preoperative and postoperative radiographs. Three patients showed secondary displacement of more than 5mm. Clinical evaluation performed at a mean of 20 months showed a median ASES of 98.3, OSS of 48, and VAS of 0. All patients returned to their previous jobs after a mean recovery of 11 weeks.

Conclusion:This study describes an open surgical technique for an anatomic three-point reconstruction of the CC ligaments. All patients resumed their professional activities in a timely manner. It showed promising clinical results and potential benefits. However, long-term studies are needed to show socioeconomic and clinical benefits.

Abbreviations:Acute acromioclavicular injury; Acromioclavicular dislocation; Coracoclavicular ligaments

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