Arthroscopic Coracoclavicular and Acromioclavicular Stabilization of Acute Acromioclavicular Joint Dislocation By Suspensory Fixation System

Abstract

Arthroscopic stabilization of acute acromioclavicular joint dislocations using coracoclavicular suspension techniques has become more popular, but lack of horizontal stability is a major concern that furthermore affects the final outcome. We present an arthroscopic technique to stabilize acute acromioclavicular joint dislocations in both the vertical and horizontal planes, with better results than conventional coracoclavicular suspension techniques.

Arthroscopy-Assisted All-Suture Coracoclavicular and Acromioclavicular Joint Stabilization in Acute Acromioclavicular Joint Injuries

“…Step 3 Temporary fixation of the AC joint AC joint is reduced under vision and provisional fixation is done with 2-mm K wire across AC joint.…”

“… 1 Over the last decade, several surgical techniques have been described for the management of the AC joint dislocations. 2 , 3 , 4 The existing surgical treatment options can be divided into 2 groups: indirect repair techniques and coracoclavicular (CC) ligament reconstruction with free tendon graft. 5 Healing of CC and AC ligament in indirect repair technique is achieved by maintaining the clavicle–coracoid relationship in a reduced position for long enough to allow healing of the these ligaments.…”

Additive minimal-invasive Horizontalcerclage bei arthroskopischer Versorgung von akuten höhergradigen Akromioklavikulargelenkinstabilitäten

“…Sie finden das Video am Beitragsende unter "Supplementary Material". Video Dabei unterscheiden sich partiell offene [6, 7] und rein arthroskopische Verfahren [8,9]. Während in den vergangenen Studien primär eine gekreuzte Konfiguration über dem AC-Gelenk mit additiven Fadenmaterial verwendet wurde [6-9], konnten in biomechanischen Untersuchungen für diese Konfiguration keine signifikanten Vorteile beschrieben werden [10,11].…”

Arthroscopically Assisted Double-Loop Suture Repair for Acute Acromioclavicular Joint Disruption

“…These arthroscopic techniques have the advantage of a minimally invasive approach, facilitate management of associated intraarticular lesions, and offer adequate visualization of the coracoid. 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 However, these new methods have resulted in some new complications such as tunnel widening, coracoid or clavicle fractures, and implant failure additionally to the already known complications of loss of reduction and redislocation. 2…”