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Acromioclavicular Joint Reconstruction

February 24, 2016

Contributors: W Benjamin Kibler, MD

A biomechanically-based surgical treatment approach for high grade acromioclavicular (AC) joint injuries is necessary in order to restore the clavicle’s key role as a mobile strut for scapular and arm motion, the AC joint’s role as the unifying link in the screw axis mechanism that governs normal scapulohumeral rhythm, and the 3-dimensional nature of the normal kinematics of the clavicle and scapula which occur to facilitate arm function. The following video demonstrates execution of a surgical technique, a modification of that proposed by Mazzocca, which includes allograft reconstruction of both conoid and trapezoid ligaments through anatomically positioned clavicle drill holes, use of graft tails to reconstruct the superior AC ligament through a novel docking technique, and anatomic repair of the native anterior and posterior AC ligaments. Favorable functional outcomes have been achieved by this anatomic CC ligament reconstruction and repair/reconstruction of the AC ligaments.

Results for "Instructional Course Lectures, Volume 65"

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