Uso de injertos en reconstrucción de luxación acromioclavicular: revisión de conceptos actuales

Abstract

Acromioclavicular dislocations are common shoulder injuries in young people and athletes. After three weeks of the initial trauma, the ligament structures have a poor biological healing potential. For this reason, in cases of late diagnosis or unsuccessful conservative management, this difficulty must be addressed with a ligament reconstruction technique. The use of grafts, in addition to optimizing the mechanical stability of the reduction, improves the biological healing capacity. However, to date there is no gold standard among the many techniques described for reconstructive surgical treatment of chronic acromioclavicular dislocations.

A synthesis of the most recent literature available on the use of different types of grafts in reconstruction of acromioclavicular dislocation is presented.