Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Reconstruction of Coracoclavicular Ligament with Semitendinosus Tendon Graft - Technical Note -

반건양근을 이용한 오구쇄골 인대의 재건술(수술 수기)

  • Choi Nam-Hong (Department of Orthopaedic Surgery, Nowon Eulji Medical Center) ;
  • Bae Sang-Wook (Department of Orthopaedic Surgery, Nowon Eulji Medical Center) ;
  • You Soo-Geun (Department of Orthopaedic Surgery, Daechon Eulji Medical Center)
  • 최남홍 (을지의과대학 노원을지병원 정형외과) ;
  • 배상욱 (을지의과대학 노원을지병원 정형외과) ;
  • 유수근 (을지의과대학 대전을지병원 정형외과)
  • Published : 1999.12.01
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Abstract

Coracoclavicular ligament is main restraint to superior instability of the distal clavicle. Coracoacromial ligament, extensor tendon of toe, palmaris longus tendon, and Dacron tape have been used to reconstruct coracoclavicular ligament. We used semitedinosus tendon to reconstruct coracoclavicular ligament. The semitendinosus tendon was harvested as a usual fashion. After the distal clavicle and coracoid process were exposed, a hole of six millimeter diameter was made on the center of whole thickness of the distal clavicle. A malleolar screw was fixed from distal clavicle to coracoid process to maintain the reduced position of the acromioclavicular joint. The leading suture of tendon graft was passed through the hole of the distal clavicle and looped under the coracoid process. After leading portion of ten­don graft was looped over the clavicle, sutures were made between each end of the tendon graft with nonabsorbable suture materials.

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