Acromioclavicular Joint Dislocation: Repair Through Open Ligament Transfer and Nonabsorbable Suture Fixation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Anatomy

Background:

• Acromioclavicular (AC) joint instability is a common, debilitating injury.
• Conservative treatment is often effective, but severe dislocations may need surgical intervention.
• Previous surgical methods include screw fixation, ligament transfer, and ligament reconstruction.

Purpose of the Study:

• To describe a preferred surgical technique for treating high-grade AC joint dislocations.
• To present a novel approach combining coracoacromial ligament transfer and coracoclavicular suture fixation.

Main Methods:

• Coracoacromial ligament transfer to the lateral clavicle.
• Nonabsorbable suture fixation between the coracoid process and clavicle.
• Detailed description of the surgical procedure for AC joint stabilization.

Main Results:

• The described technique aims to provide stable fixation for severe AC joint dislocations.
• This method addresses both coracoacromial and coracoclavicular instability.
• Focus on achieving durable joint stabilization and improved patient outcomes.

Conclusions:

• The described technique offers a viable surgical option for high-grade AC joint dislocations.
• This approach combines ligament transfer with direct suture fixation for robust stabilization.
• Further studies may evaluate the long-term efficacy and patient-reported outcomes of this technique.