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Open anatomical dual tunnel reconstruction of acromiao-clavicular joint using autogenous semitendinosus graft
Sai Venkata Sathwik Matta1, Anil Kumar Nathi2, Sivananda Pathri1, Baladitya Sarma Sista3, Varun Kumar Paka4, Jameer Shaik5, Chandana Pathri6
1 Department of Orthopaedics, King George Hospital, Visakhapatnam, Andhra Pradesh, India
2 Department of Orthopaedics, GITAM Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India
3 Department of Orthopaedics, Pinnacle Hospital, Visakhapatnam, Andhra Pradesh, India
4 Department of Orthopaedics, NIMRA Institute of Medical Sciences, Vijayawada, Andhra Pradesh, India
5 Department of Orthopaedics, Chaitra Hospital, Eluru, Andhra Pradesh, India
6 Under Graduate, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India
Correspondence Address:
Anil Kumar Nathi
Department of Orthopaedics, GITAM Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/jodp.jodp_73_22
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Background: The primary constraint to the dislocation of an acromioclavicular (AC) joint is its ligaments. They prevent vertical and horizontal translations in the joint. Reconstruction of these ligaments is of prime importance for restoring the AC joint. There is uncertainty regarding the surgical treatment protocol for Rockwood's type III injury. Patients and Methods: We report a prospective cohort study on 20 patients aged between 15 and 45 years, presenting with Rockwood type III or higher rank of AC joint dislocation for open double-tunnel anatomical reconstruction of AC joint using autogenous semitendinosus graft. Patients were evaluated at the end of follow-up of 2 years using the Constant–Murley outcome scoring system. Results: Clinical and radiological evaluation performed revealed excellent results in 15, good in three, and fair in two, with no poor results recorded. Conclusion: Open double-tunnel reconstruction with semitendinosus graft is a vital technique for Rockwood type III or higher grade of AC joint dislocation management to deliver a pain-free shoulder with good strength, well-retained range of movements, and near normal regain of activities.
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