TECHNIQUESArthroscopic Reconstruction of the Acromioclavicular Joint Using Semitendinosus Allograft Technique and Preliminary ResultsVanSice, Wade MD; Savoie, Felix H. "Buddy" III MDAuthor Information Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA Reprints: Felix H. "Buddy" Savoie III, MD, Department of Orthopaedic Surgery, 1430 Tulane Ave SL-32, New Orleans, LA 70112-2699 (e-mail: [email protected]). No funding was received for this manuscript. Techniques in Shoulder and Elbow Surgery: September 2008 - Volume 9 - Issue 3 - p 109-113 doi: 10.1097/BTE.0b013e318181da68 Buy Metrics Abstract The purpose of this report is to describe an arthroscopic technique using a semitendinosus allograft to reconstruct chronic grade III, IV, or V acromioclavicular joint separations. Indications for arthroscopic surgery include pain, functional limitation, severe cosmetic deformity, and failure of nonoperative treatment. Twelve patients were managed by this technique during a 2-year period. All 12 were reevaluated 2 to 4 years postoperatively. Of the 12 patients, 10 had satisfactory to excellent results. Two patients lost reduction: 1 was subsequently repaired with an excellent result and 1 loss of approximately 5 mm of reduction with no consent for follow-up procedure at this time. There was a 25% complication rate. The arthroscopic technique for reconstruction of the dislocated acromioclavicular joint is still evolving but shows much promise for the future management of these problematic injuries. © 2008 Lippincott Williams & Wilkins, Inc.