A prospective study of coracoclavicular ligament reconstruction with autogenous peroneus longus tendon for acromioclavicular joint dislocations

作者：Zhu, Yu; Hsueh, Peilin; Zeng, Bingfang; Chai, Yimin; Zhang, Changqing; Chen, Yunfeng^*; Wang, Yuchen; Maimaitiaili, Tuerxun

来源：Journal of Shoulder and Elbow Surgery, 2018, 27(6): E178-E188.

DOI：10.1016/j.jse.2017.12.009

• Acromioclavicular joint
• anatomic reconstruction
• dislocation
• graft
• peroneus longus tendon
• coracoclavicular ligament

Background: Anatomic coracoclavicular (CC) ligament reconstruction (ACCR) provides good outcomes for Rockwood type III and VI acromioclavicular (AC) joint dislocations. Various grafts have been used, but complications from graft harvesting are not uncommon. This study examined the clinical and radiographic outcomes of patients with AC joint dislocations repaired with the autogenous anterior half of the peroneus longus tendon (AHPLT) to achieve ACCR. @@@ Methods: Patients with a Rockwood type III to V AC joint dislocation and magnetic resonance imaging of the disruption of the CC ligaments, as well as the AC capsule, were prospectively recruited. Patients received ACCR using an autogenous AHPLT graft and were evaluated clinically and radiographically pre-operatively and at 1, 3, 6, and 12 months postoperatively. @@@ Results: A total of 18 patients (mean age, 51 years) were prospectively recruited and received an autogenous AHPLT graft ACCR. Fifteen patients completed clinical and radiographic follow-up examinations at 12 months. The mean Constant score (CS) was 51 preoperatively and 93 at 12 months (P < .005). No significant difference was noted at 12 months between the CS of the injured and contralateral shoulder. The mean American Orthopedic Foot and Ankle Society score at 12 months was 99, and this was not different from the value at any other time point. Loss of reduction occurred in 10 patients (56%), and tunnel widening was observed in 9 (50%), but neither was significantly correlated with functional outcome. @@@ Conclusion: Autogenous AHPLT appears to be a reliable tendon graft source for CC ligament reconstruction.

• 出版日期2018-6
• 单位上海交通大学