Sanjeev Kumar Kare, Chitrothu Venkata Murali Krishna, Tulasi Sudheer, Pathri Sivananda, Paka Varun Kumar, B. Mohan Kalyal Phaniteja, Padala V. V. S. N. Reddy
BACKGROUND The aim of the study is to review the functional and radiological results of patients after coracoclavicular ligament reconstruction using a semitendinosus tendon graft for type-III acromioclavicular dislocation. MATERIALS AND METHODS Nine patients aged 21 to 50 (mean, 35) years with Rockwood Type-III acromioclavicular dislocation underwent coracoclavicular ligament reconstruction with autogenous semitendinosus tendon grafts. Patients were either active in sports or heavy manual workers. Assessments on shoulder function (using the Constant Score), wound size, pain (using Visual Analogue Scale), and reduction (using radiographs of both acromioclavicular joints) were made. RESULTS The mean follow-up period was 18 (range, 12–24) months; the mean time to return to work or sports was 16 (range, 12–20) weeks. The mean constant score was 94 (range, 90–98). The mean donor-site scar size was 4 cm and the mean pain score was 0. No major complication or donor-site morbidity was noted. There was one wound dehiscence. CONCLUSION Coracoclavicular ligament reconstruction using an autogenous semitendinosus tendon graft was safe in physically active patients having type-III acromioclavicular dislocation.
