title: All-arthroscopic double-bundle coracoclavicular ligament reconstruction using autogenous semitendinosus graft: a new technique.
abstract: We present our novel arthroscopic anatomic double-bundle coracoclavicular ligament reconstruction technique using a semitendinosus tendon autograft. The dorsal limb of the graft is positioned around the dorsal edge of the clavicle, re-creating the conoid ligament. The anterior limb proceeds superiorly and re-creates the trapezoid ligament. The solution effectively stabilizes the acromioclavicular joint and prevents anterior posterior translation. This new arthroscopic double-bundle coracoclavicular joint reconstruction is an effective and reliable method in stabilizing the clavicle and neutralizing the anterior-posterior translation, and we find it to be technically practical for the surgeon.
authors.affiliation: NEO Hospital of Orthopaedics and Sports Medicine, Turku, Finland ; Department of Physical Activity and Health, Paavo Nurmi Centre, University of Turku, Turku, Finland.
authors.forename: Juha O
authors.initials: JO
authors.lastname: Ranne
authors.forename: Janne J
authors.initials: JJ
authors.lastname: Sarimo
authors.forename: Mark I
authors.initials: MI
authors.lastname: Rawlins
authors.forename: Olli J
authors.initials: OJ
authors.lastname: Heinonen
authors.forename: Sakari Y
authors.initials: SY
authors.lastname: Orava