Kimmeyer Michael, Lafosse Laurent, Lafosse Thibault
Clinique Générale Annecy, France.
ViDia Clinics Karlsruhe, Karlsruhe, Germany.
Arthrosc Tech. 2024 Jun 11;13(9):103038. doi: 10.1016/j.eats.2024.103038. eCollection 2024 Sep.
High-grade the acromioclavicular joint (ACJ) dislocations can be treated surgically. Endoscopic techniques to stabilize the ACJ using an EndoButton suture technique for coracoclavicular (CC) fixation have been shown to be safe and reproducible. Several studies have demonstrated the benefit of stabilizing the ACJ to reduce postoperative horizontal instability. This Technical Note presents a full-endoscopic technique for acute ACJ dislocations using a double-stranded EndoButton cerclage technique for CC reconstruction and an additional coracoacromial ligament transfer for acromioclavicular reconstruction. An autologous coracoacromial ligament transfer to the lateral clavicle increases stability in the horizontal plane and reduces the risk of anteroposterior recurrent instability. Clinical studies need to show whether additive ACJ fixation in addition to the all-endoscopic double cerclage EndoButton CC stabilization technique is in fact beneficial.
高级别肩锁关节（ACJ）脱位可采用手术治疗。已证明，使用EndoButton缝线技术进行喙锁（CC）固定以稳定ACJ的内镜技术是安全且可重复的。多项研究表明，稳定ACJ有助于减少术后水平不稳定。本技术说明介绍了一种用于急性ACJ脱位的全内镜技术，该技术使用双链EndoButton环扎技术进行CC重建，并额外进行喙肩韧带转移以重建肩锁关节。将自体喙肩韧带转移至锁骨外侧可增加水平面的稳定性，并降低前后复发性不稳定的风险。临床研究需要表明，除了全内镜双环扎EndoButton CC稳定技术外，额外的ACJ固定是否真的有益。
