Arthroscopic Fiber Tape-Augmented Coracoclavicular Ligament Reconstruction Using Semitendinosus Tendon for Chronic Acromioclavicular Joint Separation.

Liu, Zhenlong; Ye, Weixin; Pan, Tong; Han, Yu; Hou, Zhenchen; Liu, Ping · Arthrosc Tech · 2025

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Abstract

This article describes an improved arthroscopic, drill-free technique for chronic acromioclavicular joint separations, avoiding the risks of coracoid or clavicular fracture associated with bone tunnels. The technique eliminates bone drilling by passing No. 5 sutures and FiberTape (Arthrex) around the coracoid base and clavicle. A semitendinosus tendon graft is guided doubly around this path using the sutures. This creates a FiberTape-tendon complex that replicates native coracoclavicular ligament function, offering vertical stability and biological integration for long-term healing. This approach offers a safe, effective solution for chronic acromioclavicular joint instability.