title: The anatomic coracoclavicular ligament reconstruction: surgical technique and indications.
abstract: The anatomic coracoclavicular ligament reconstruction (ACCR) is a surgical procedure to address acriomioclavicular joint instability. The coracoclavicular ligaments are reconstructed using a semitendinosus allograft passed beneath the coracoid and through bone tunnels in the clavicle. The graft is secured with interference screw fixation, and the acromioclavicular joint is retained. Here we describe the authors' surgical technique, indications, and rehabilitation protocol. Also, a preliminary case series of seventeen patients is presented. Patients demonstrated significant improvement in pain levels and function. The mean ASES score increased from 52 preoperatively to 92. The Constant Murley rose from 66.6 to 94.7. There were three failures in this series, and two required revision surgery.
authors.affiliation: Department of Orthopaedic Surgery, University of Connecticut Health Center, New England Musculoskeletal Institute, Farmington, CT 06030, USA.
authors.forename: Brad C
authors.initials: BC
authors.lastname: Carofino
authors.forename: Augustus D
authors.initials: AD
authors.lastname: Mazzocca
mesh_terms: D000173:Acromioclavicular Joint / Q000033:anatomy & histology / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008023:Ligaments, Articular / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D011182:Postoperative Care; D019651:Plastic Surgery Procedures / Q000379:methods