title: Arthroscopic Reconstruction of the Coracoclavicular Ligaments Using a Coracoid Cerclage Technique.
abstract: This technical note discusses the arthroscopic coracoid cerclage technique for double-bundle coracoclavicular ligament reconstruction in patients with nonacute symptomatic high-grade acromioclavicular separation injuries. This technique allows for an anatomic graft reconstruction of the coracoclavicular ligaments through an arthroscopic approach without the requirement to drill into the coracoid process. Early results are promising with high patient satisfaction and excellent reported clinical and radiographic outcomes. We believe this technique to be an anatomic, less invasive alternative to a complex shoulder procedure while sparing the structural integrity of the coracoid process and also allowing the surgeon to convert easily to a more traditional open surgical technique as necessary.
authors.affiliation: Tri-County Orthopedics, Carthage, New York, U.S.A.
authors.forename: Nata
authors.initials: N
authors.lastname: Parnes
authors.affiliation: Tri-County Orthopedics, Carthage, New York, U.S.A.
authors.forename: Maryellen
authors.initials: M
authors.lastname: Blevins
authors.affiliation: Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Ft Drum, New York, U.S.A.
authors.forename: Paul
authors.initials: P
authors.lastname: Carey
authors.affiliation: Department of Orthopaedic Surgery, Guthrie Army Health Clinic, Ft Drum, New York, U.S.A.
authors.forename: Brian
authors.initials: B
authors.lastname: Carr