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

A Modified Endoscopic Technique with Three Incisions for Rockwood Types III and V Acromioclavicular Joint Dislocation

“…This modified endoscopic technique has the following advantages: (i) it reduces the number of surgical incisions, requiring only three minimally invasive skin incisions, imparts less trauma and has better esthetic outcome; (ii) it minimizes the extent of arthroscopic exposure of the lower surface of the coracoid process, further reduces the damage to the surrounding tissue, and is beneficial for early rehabilitation of postoperative function. In addition, the modified technique (the average operation time of this cohort is 45 min) can significantly reduce the procedure time compared with conventional techniques (47–70.6 min) 19,20 ; (iii) It was found that arthroscopic techniques may lead to new complications such as coracoid or clavicle fractures and tunnel widening 21,22 . In this study, percutaneous localization of the anterior and posterior edge of the clavicle with an epidural needle can effectively avoid complications such as clavicle fracture caused by mispositioning of the clavicle tunnel (no such complications occurred in this group); and (iv) the use of #2 fiberwire line can initially secure the acromioclavicular joint and facilitate fluoroscopy to ensure a satisfactory reduction of the acromioclavicular joint.…”

“…In addition, the modified technique (the average operation time of this cohort is 45 min) can significantly reduce the procedure time compared with conventional techniques (47-70.6 min) 19,20 ; (iii) It was found that arthroscopic techniques may lead to new complications such as coracoid or clavicle fractures and tunnel widening. 21,22 In this study, percutaneous localization of the anterior and posterior edge of the clavicle with an epidural needle can effectively avoid complications such as clavicle fracture caused by mispositioning of the clavicle tunnel (no such complications occurred in this group); and (iv) the use of #2 fiberwire line can initially secure the acromioclavicular joint and facilitate fluoroscopy to ensure a satisfactory reduction of the acromioclavicular joint. Simultaneously, the other wire ring further increases the fixation strength of the acromioclavicular joint kit.…”

Surge of Arthroscopic assisted and endoscopic surgical Universe in Arthroscopic Shoulder Metaverse

“…The arthroscopic-assisted procedures were described with dogb o n e a n d l a t e r s u r g e o n s h a v e incorporated all suture implants and or tendon grafts, especially for ACJ injuries Rockwood ty pe 3 and beyond to d e c r e a s e t h e i m p l a n t -r e l a t e d complications in a subcutaneous bonelike clavicle. [17,18]. Even the distal clavicle fractures which were treated with open procedures and plates fixations h av e b e e n s l ow l y re p l ac e d w i t h arthroscopic assisted distal clavicle fixations with soft tissue or dogbone-like implants.…”