Tratamiento quirúrgico de la luxación acromioclavicular crónica con injerto biológico

Abstract

Ligament reconstruction was performed with double double button suspension system with biological contribution (gracilis tendon) for the reconstruction of the coracoclavicular CCL and acromioclavicular ligament allows the anatomical
reconstruction of CCL coracoclavicular ligaments; The use of 2 or more vertical stabilizers along the course of the CC ligament would better restore the anatomy and biomechanical properties of the native ligaments. 1-3 These procedures decrease pain, eliminate sequelae, and improve function as well as improve shoulder strength 4-6. We present the case of a 69-year-old patient with a history of right acromioclavicular dislocation, 2 years ago presenting pain in the right shoulder VAS 5/10 accompanied by limitation to perform work activities plus deformity. The physical examination found: right shoulder deformity with prominence of the external third of the clavicle, mild pain on palpation, arches of mobility: flexion 130°, extension 50°, abduction 110°, positive key sign, scale (DASH) 54. The diagnosis was Rockwood acromioclavicular dislocation. Ligament reconstruction was performed with a double suspension system with biological contribution (gracilis tendon) for the reconstruction of the CCL and acromioclavicular ligament obtaining good clinical results with scale (DASH) 9, reducing pain , improves the mobility arches, thereby achieving an adequate recovery of functionality.