Arthroscopic Coracoclavicular Fixation Technique Using Multiple All-Suture Anchors

Autor: Jeung Yeol Jeong, M.D., Yon-Sik Yoo, M.D., Ph.D., Seung-Jin Lee, M.D., Wooyoung Im, M.D.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Arthroscopy Techniques, Vol 8, Iss 4, Pp e423-e427 (2019)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2018.12.002
Popis: Acromioclavicular (AC) joint dislocation is a common injury, particularly among active young individuals. Numerous surgical procedures for treating acute, high-grade AC joint dislocation have been reported. However, no standard surgical procedure that restores the normal kinematics of the AC joint is available. Among the available coracoclavicular (CC) fixation techniques, cortical button fixation was recently introduced, and it has had successful outcomes. Moreover, it is advantageous because it can be used in arthroscopic procedures. However, because of the limited number of fixation tools, a fundamental problem in terms of horizontal instability and gradual subsidence of cortical buttons has been observed, eventually leading to a threat to vertical stability. Therefore, we developed a unique CC fixation technique with multiple small tunnels using all-suture anchors, which may overcome potential complications caused by cortical buttons that require bone tunnels with relatively large diameters. This arthroscopic CC fixation technique was designed to achieve the ideal horizontal and vertical stability that may restore native AC kinematics.
Databáze: Directory of Open Access Journals