Fig. 7.

Graft passage and fixation. The graft is passed from the conoid ligament tunnel beneath the coracoid (from medial to lateral) (A). The graft is then passed into the trapezoid ligament tunnel and over the acromion into the acromial tunnel and again into the trapezoid ligament tunnel (B). The sutures of the graft exiting the trapezoid tunnel are tied over the graft in order to reconstruct the superior and inferior AC ligaments. The other limb of the graft (exiting the conoid tunnel) is fixed on the superior aspect of the clavicle to the part of the graft running from the trapezoid tunnel to the AC joint (C). The line drawing shows the steps of graft passage and fixation (D).