Perraut Gregory, Neubauer Benjamin E, Cherelstein Rachel E, Chang Edward S
Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, D.C., U.S.A.
Eastern Virginia Medical School, Norfolk, Virginia, U.S.A.
Arthrosc Tech. 2025 Mar 11;14(6):103499. doi: 10.1016/j.eats.2025.103499. eCollection 2025 Jun.
Acromioclavicular (AC) joint injuries occur with an incidence of 9.2 per 1,000 person-years. There are a variety of indicated surgical techniques, with no clear superior method. The use of suspensory fixation with cortical buttons has increased in popularity. Despite advancements in AC joint reconstruction, the procedure carries a significant complication risk, including coracoid fracture rates as high as 20%. We describe a technique using suspensory fixation that reduces the risk of complications, primarily coracoid and clavicular fracture. This technique provides anatomic reduction of the AC joint using a suture cerclage-tensioner system that (1) does not require coracoid drilling, (2) uses a single drill hole on the clavicle, (3) allows adjustable tensioning of the sutures, and (4) simplifies biological augmentation with an allograft.
肩锁关节（AC）损伤的发生率为每1000人年9.2例。有多种手术技术可供选择，但尚无明确的最佳方法。使用皮质纽扣进行悬吊固定的方法越来越受欢迎。尽管肩锁关节重建技术有所进步，但该手术仍有显著的并发症风险，包括高达20%的喙突骨折发生率。我们描述了一种使用悬吊固定的技术，该技术可降低并发症风险，主要是喙突和锁骨骨折风险。该技术使用缝线环扎-张力器系统对肩锁关节进行解剖复位，该系统（1）无需在喙突钻孔，（2）在锁骨上使用单个钻孔，（3）允许对缝线进行可调节的张力调节，以及（4）简化了同种异体移植物的生物增强。
