Functional Results following Acromioclavicular Joint Reconstruction Using Gracilis Tendon Augmented with Fibertape: A Prospective Study

Abstract

Background and Objectives: Acromioclavicular joint (ACJ) injuries are one of the common shoulder problems. Various autografts are being used in the reconstruction of higher grades of ACJ disruptions. The present study evaluates functional and radiological results of acute ACJ disruptions treated using gracilis tendon autograft and FiberTape. Materials and Methods: Our study included 16 cases of acute ACJ disruptions. After a thorough clinicoradiological evaluation, the patient received ACJ reconstruction using a gracilis autograft and FiberTape by mini-open technique. The patient was followed up postoperatively at 3 weeks, 6 weeks, 3, and 6 months. At each follow-up, functional results were studied using Disability of the Arm, Shoulder, and Hand (DASH) scores. Results: The mean (standard deviation) preoperative coracoclavicular distance (CCD) was 18.32 (1.84) and postoperative CCD was 10.41 (2.74) mm. Mean DASH scores during follow-up were 71, 59, 31, and 1 at 3 weeks, 6 weeks, 3 months, and 6 months, respectively. A significant difference was found in the pre- and postoperative CCD and DASH t scores (P < 0.001). Conclusion: The present study shows good functional and radiological results following mini-open ACJ reconstruction using gracilis autograft and FibreTape without postoperative complications and donor site morbidity.

Keywords

• acromioclavicular joint
• fibertape
• gracilis tendon