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A Modified Arthroscopic Technique of Gracilis Tendon Graft with Double Fixation System for Treatment of Type V Acromioclavicular Injuries

A Case Report

Aramberri-Gutiérrez, Mikel MD, PhD1; Ferrando, Albert MD1,2; Tiso D'Orazio, Giovanni MD1; Sines Castro, Fernando MD3; Mediavilla, Iñaki MD, PhD4

doi: 10.2106/JBJS.CC.18.00234
Case Reports

Case: A 48-year-old male patient with a type V acromioclavicular injury with a 3-tendon acute cuff tear, anterior glenohumeral dislocation, and an axillary posttraumatic neuropathy is presented. The rotator cuff tear was sutured and an all-arthroscopic–modified coracoclavicular ligaments (CCLs) reconstruction technique was performed with a gracilis tendon graft and a double knotless suture fixation system.

Conclusions: An arthroscopic approach allows the surgeon to identify and treat associated glenohumeral lesions in type V acromioclavicular dislocations. In addition, the modified CCL reconstruction technique addresses effectively the AC instability.

1Shoulder and Sports Medicine Unit, Alai Sports Medicine Clinic, Madrid, Spain

2Hospital Universitari i Politècnic La Fe, Avinguda de Fernando Abril Martorell, Valencia, Spain

3Shoulder Unit, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain

4Hospital de Basurto, Aitira Clinic, Bilbao, Spain

E-mail address for M. Aramberri-Gutiérrez:

Investigation performed at Alai Sports Medicine Clinic, Madrid, Spain

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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