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Related Experiment Video

Updated: Mar 14, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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BiPOD Arthroscopic Acromioclavicular Repair Restores Bidirectional Stability.

Joe De Beer, Michael Schaer, Kim Latendresse

    Orthopedics
    |September 21, 2016
    PubMed
    Summary

    The BiPOD repair technique offers a novel solution for stabilizing the acromioclavicular joint, achieving bidirectional stability in patients with high-grade injuries. This arthroscopic approach shows promising results in early follow-up for acromioclavicular joint reconstruction.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Surgical Techniques

    Background:

    • Acromioclavicular (AC) joint stabilization is complex, with current methods often failing to provide reliable vertical and horizontal plane stability.
    • High-grade AC joint injuries require robust surgical repair to restore joint function and prevent long-term complications.

    Purpose of the Study:

    • To evaluate the efficacy of the BiPOD (bidirectional) repair technique in achieving stable reconstruction of the AC joint.
    • To assess the BiPOD technique's ability to provide both vertical and horizontal stability following acute, high-grade AC joint injuries.

    Main Methods:

    • Prospective review of the first 6 patients undergoing the arthroscopically assisted BiPOD repair for acute high-grade AC joint injuries.
    • Image intensifier guidance was used for the reconstruction of both coracoclavicular and AC ligaments.

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    Last Updated: Mar 14, 2026

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  • Repair utilized a combination of FiberTape and Poly-Tape for rigid fixation, with radiographic analysis (coracoclavicular distance and Alexander axillary view) at 6-month follow-up.

    • Main Results:

    • A single patient experienced a superficial infection; no other complications were reported.
    • Preoperative coracoclavicular distance difference of 9±2 mm was reduced to 0.3±2 mm at 6 months, indicating successful vertical reduction.
    • All 6 patients demonstrated stable horizontal reduction on the Alexander axillary view, with the clavicle aligned with the acromion.

    Conclusions:

    • The BiPOD acromioclavicular reconstruction technique effectively restores bidirectional stability to the AC joint.
    • This arthroscopic approach provides a reliable method for managing high-grade acute AC joint injuries, with positive early radiographic outcomes.