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Arthroscopic Treatment of Acute and Chronic Acromioclavicular Joint Dislocation
Affiliation:1. University Clinic for Traumatology, Clinical Hospital Centre “Sisters of Charity”, Zagreb, Croatia;2. Medical School, University of Zagreb, Zagreb, Croatia;3. Department of Traumatology, Pula County Hospital, Pula, Croatia;4. Scientific Unit, Varazdin County Hospital, Varazdin, Croatia;5. Department of Traumatology, Karlovac County Hospital, Karlovac, Croatia;1. Hôpital privé La Châtaigneraie, 63110 Beaumont, France;2. Service de chirurgie du membre supérieur, avenue Baumann, 67400 Illkirch, France;3. Centre ostéo-articulaire des cèdres, 5, rue des Tropiques, 38130 Échirolles, France;4. Institut universitaire locomoteur et du sport, CHU de Nice, 06000 Nice, France;5. St. Luke''s Hospital, Bystrzanska 94b, 43-300 Bielsko-Biala, Poland;6. Clinique des Maussins, 67, rue de Romainville, 75019 Paris, France;7. Etzelclinic, Churerstrasse 43, 8808 Pfäffikon, Switzerland;8. Centre orthopédique Santy, hôpital privé J.-Mermoz (Ramsay-GDS), 24, avenue Paul-Santy, 69008 Lyon, France;9. Clinique générale d’Annecy, 74000 Annecy, France;1. Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain;2. Physical Medicine and Rehabilitation Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain;3. Department of Epidemiology, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain;4. Musculoskeletal Radiology Department, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
Abstract:This article presents an all-arthroscopic technique for coracoclavicular ligament reconstruction by ligamentoplasty after acute or chronic acromioclavicular joint dislocation. A coracoacromial ligament transfer is done to reconstruct the torn coracoclavicular ligaments, similar to open surgery. The coracoacromial ligament is dissected from the undersurface of the acromion and is reinserted on the inferior clavicle by transosseous suture fixation. Additional wire or screw stabilization may be used. With this method, we achieve a very satisfactory reduction of the dislocated acromioclavicular joint.
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