Truly anatomic coracoclavicular ligament reconstruction with 2 EndoButton devices for acute Rockwood type V acromioclavicular joint dislocations: 5-year findings

Atraumatic Acromioclavicular Joint Dislocation: A Case Report Treated with Excision of the Distal Clavicle Margin and Button Slide System with Allograft Tendon Reinforcement at Coracoclavicular and Acromioclavicular Joint

“…Our case is the only one with this pathology treated with this surgical technique (described below), with more than five years of follow-up, a period of time that would be sufficient to develop potential complications that can arise from this surgical technique. None of the other five previously published cases [13][14][15][16][17] had as successful clinical and functional outcomes as have been achieved in our case, with complete reincorporation of daily activities and without relapses or complications.…”

“…In our opinion, this surgical technique does not provide stability in the horizontal plane. Biomechanically, the clavicular stabilization by means of a single screw provides a primary fixation evidently inferior to the endobutton-type system, and it does not act directly in stabilizing the acromioclavicular joint in the horizontal plane [13][14][15][16][17].…”

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

“…Numerous surgical techniques have been described for the treatment of acute AC joint dislocation. 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 The goals of the new anatomic CC ligament reconstruction techniques are to achieve anatomic reduction of the ACJ and adequate fixation in order to allow and facilitate primary healing of AC and CC ligaments, and also to minimize the risk of associated complications.…”

“…Biomechanical and clinical studies have confirmed that good to excellent results are expected with these techniques. 9 , 10 , 11 , 12 , 13 , 14 , 15 A skillful arthroscopic surgeon can take advantage of recent advances in implant designs and perform arthroscopically assisted or fully endoscopically assisted procedures such the anatomic ACJ stabilization procedure. These arthroscopic techniques have the advantage of a minimally invasive approach, facilitate management of associated intraarticular lesions, and offer adequate visualization of the coracoid.…”