Anatomic reconstruction of acromioclavicular joint dislocations using allograft and synthetic ligament

Michael Yeranosian, MD; Rajesh Rangarajan, MD; Sevag Bastian, MD; Collin Blout, BS; Vikas Patel, MD; Brian Lee, MD; John Itamura, MD

JSES International (Sep 2020)

Anatomic reconstruction of acromioclavicular joint dislocations using allograft and synthetic ligament

Michael Yeranosian, MD,
Rajesh Rangarajan, MD,
Sevag Bastian, MD,
Collin Blout, BS,
Vikas Patel, MD,
Brian Lee, MD,
John Itamura, MD

Affiliations

Michael Yeranosian, MD: Department of Sports Medicine, Cedars-Sinai Kerlan-Jobe Institute, Los Angeles, CA, USA
Rajesh Rangarajan, MD: Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA
Sevag Bastian, MD: Orthopaedic Surgery Specialists, Adventist Health Glendale, Glendale, CA, USA
Collin Blout, BS: Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA; Corresponding author: Collin Blout, BS, Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, 1700 E Cesar E. Chavez Ave, Ste 1400, Los Angeles, CA, 90033, USA.
Vikas Patel, MD: Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA
Brian Lee, MD: Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA
John Itamura, MD: Department of Shoulder and Elbow Reconstruction, Cedars-Sinai Kerlan-Jobe Institute at Adventist Health White Memorial, Los Angeles, CA, USA

Journal volume & issue: Vol. 4, no. 3
pp. 515 – 518

Abstract

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Background: Acromioclavicular (AC) separations are commonly seen shoulder injuries. Numerous surgical reconstruction techniques have been described. In this study, we present a series of patients who underwent an anatomic reconstruction using a synthetic ligament and allograft construct. Methods: We performed a retrospective review of patients with type IV or V AC separations who underwent primary or revision AC reconstruction with a luggage-tag synthetic ligament and a semitendinosus allograft placed through the anatomic insertion sites of the coracoclavicular ligaments. Patient-reported outcomes, as well as complication rates, were recorded at a minimum 2-year follow-up. Results: Ten patients with a mean age of 44.2 ± 14.9 years were included in the study. The mean Disabilities of the Arm, Shoulder and Hand score was 15.5 ± 15.4; mean Single Assessment Numeric Evaluation score, 81.8 ± 12.1; mean Simple Shoulder Test score, 11.4 ± 1.1; mean American Shoulder and Elbow Surgeons score, 84.6 ± 15.7; mean Constant score, 82.5 ± 11.6; and mean visual analog scale score, 2 ± 2.6. Conclusion: The technique using a luggage-tag synthetic ligament along with an anatomic allograft coracoclavicular ligament reconstruction is a safe, effective alternative to other techniques described in the literature.

Published in JSES International

ISSN: 2666-6383 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the musculoskeletal system
Website: https://www.journals.elsevier.com/jses-international

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