BACKGROUND Our purpose was to investigate the clinical efficacy of arthroscope-assisted acromioclavicular ligament reconstruction in combination with double endobutton coracoclavicular ligament reconstruction for the treatment of complete acromioclavicular joint dislocation. METHODS During the period from February 2010 to October 2012, ten patients with Rockwood types IV and V acromioclavicul...

BACKGROUND Displaced fractures of the distal clavicle are inherently unstable and lead to nonunion in a high percentage of cases. The optimal surgical management remains controversial. HYPOTHESIS Indirect osteosynthesis with a closed-loop double endobutton construct would result in reliable fracture union and obviate the need for additional surgery. STUDY DESIGN Case series; Level of eviden...

PURPOSE The purpose of this study was to evaluate the effect of hybrid femoral fixation with bioabsorbable interference screws (BioRCI; Smith & Nephew Endoscopy, Andover, MA) and EndoButton CL (Smith & Nephew Endoscopy) fixation. METHODS Biomechanical testing of 3 different fixation techniques was performed by use of porcine hind-limb distal femurs and mature bovine extremity common extensor ...

The EndoButton is a commonly used device for femoral fixation of anterior cruciate ligament grafts. Complications from its usage remain rare. Incorrect femoral tunnel placement may increase the risk of intra-articular displacement of the EndoButton. We present a case of anterior femoral tunnel placement resulting in intra-articular displacement of the EndoButton after failure. A 24-year-old man...

INTRODUCTION Many surgical techniques have been described in the literature. In this article, we describe surgical technical details along with tips and tricks of distal biceps tendon tenodesis using the EndoButton and tension - slide technique, a modification of the suspensory cortical button technique, which allows the surgeon to tension and repairs the biceps tendon through the single longit...

INTRODUCTION: Recent studies have shown that fixation of a hamstring graft with a titanium button and polyester tape (EndoButton fixation) in anterior cruciate ligament (ACL) reconstruction can result in relative motion of the graft within the bone tunnel (graft-tunnel motion) under cyclic tensile loading (1). Therefore, an aggressive post-operative rehabilitation may lead to significant graft-...

A gold standard for the reconstruction of the coracoclavicular complex has yet to emerge for the treatment of separation of the acromioclavicular joint. Most of the current techniques not only fail to recreate the original anatomy, but also do not use materials that are strong enough to maintain the reduction during the healing process. Using a weak and nonanatomical construct has predictably l...

BACKGROUND Current anatomic methods for reconstruction of the dislocated acromioclavicular (AC) joint show improved clinical results but continue to be associated with significant rates of fixation loss and complications, limiting more widespread use. PURPOSE To determine the long-term clinical and radiologic outcomes of a novel surgical technique using a closed-loop double Endobutton device ...