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Arthroscopic Anatomical Acromioclavicular Joint Reconstruction using a Button Device and a Semitendinosus Graft

2022Journal article Open access
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dc.contributor.authorMaia Dias, C
dc.contributor.authorLeite, MJ
dc.contributor.authorRibeiro da Silva, M
dc.contributor.authorGranate, P
dc.contributor.authorManuel Teixeira, J
dc.date.accessioned2022-02-28T16:12:32Z
dc.date.available2022-02-28T16:12:32Z
dc.date.issued2022
dc.description.abstractObjective: To report a new technique for anatomical acromioclavicular (AC) joint reconstruction. Methods: In order to minimize such complications, the authors describe a new anatomical and biological AC joint repair. This technique aims to provide greater stability by using two anatomically placed clavicular tunnels and a combined construct with a double endobutton cortical fixation for primary stabilization, and to be biologically advantageous by using an autologous semitendinosus (ST) tendon graft. Additionally, the coracoclavicular ligament reconstruction is complemented with an AC joint cerclage and capsular reinforcement, which will protect the biological construction in its initial stage of healing. Results: This technique provides adequate primary and secondary biomechanical stability by passing both a semitendinosus autogenous graft and a double endobutton device, through anatomically placed and small diameter clavicle holes, without the need for coracoid drilling. Our technique showed encouraging results regarding pain resolution, range of motion, and function. At final follow-up we experienced excellent results with average pain score of 1.6, and average ROM of 159° of forward flexion, 160° of abduction, 68° of external rotation, and internal rotation level at T11. Postoperative function also showed great improvements with average ASES of 85 points, an average Constant Score of 87 and a Subjective Shoulder Value of 89 points. This technique also achieved perfectly acceptable radiographic results, with an average coracoclavicular distance increase of 0.8 mm. Regarding complications, our sample showed one case of AC join subluxation, two cases of internal saphenous nerve injury, and two partial graft tears at the suture-button interface, with none of these requiring surgical revision. Conclusion: This technique is advantageous in treatment of acromioclavicular joint dislocation and can be performed in both the subacute and chronic setting.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationOrthop Surg . 2022 Feb 9. doi: 10.1111/os.13202.pt_PT
dc.identifier.doi10.1111/os.13202pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/39580
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectArticulação Acromioclavicular/cirurgiapt_PT
dc.subjectProcedimentos Cirúrgicos Reconstrutivospt_PT
dc.subjectTendões dos Músculos Isquiotibiais/transplantaçãopt_PT
dc.subjectAcromioclavicular Joint/surgerypt_PT
dc.subjectReconstructive Surgical Procedurespt_PT
dc.subjectHamstring Tendons/transplantationpt_PT
dc.titleArthroscopic Anatomical Acromioclavicular Joint Reconstruction using a Button Device and a Semitendinosus Graftpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleOrthopaedic Surgerypt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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