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Arthroscopic-Assisted Triple-Bundle Reconstruction for Acromioclavicular Joint Dislocation.

Tianhao Zhu¹, Changming Huang¹, Huaqiang Fan¹

¹Department of Orthopedics Hospital of PLA 73rd Group Army, Chenggong Hospital Affiliated to Xiamen University Xiamen China.

Arthroscopy Techniques

|July 1, 2026

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This study presents a new surgical technique for acromioclavicular joint dislocations, using arthroscopy and specialized devices for anatomical ligament reconstruction. The method enhances joint stability and reduces the risk of re-dislocation and fractures.

Area of Science:

Orthopedic Surgery
Sports Medicine
Arthroscopy

Background:

Acromioclavicular (AC) joint dislocations are common injuries.
Treatments aim to restore stability and function.
Previous methods may have limitations in anatomical reconstruction and stability.

Purpose of the Study:

To describe a novel surgical technique for treating acute and chronic AC joint dislocations.
To achieve anatomical reconstruction of the AC joint ligaments.
To restore both sagittal and axial stability of the AC joint.

Main Methods:

Intraoperative arthroscopy was utilized.
Tunnels were created in the clavicle and coracoid process.
Tightrope and Endobutton devices were used for conoid and trapezoid ligament reconstruction.

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Wire ties were employed for AC ligament reconstruction, creating a triple bundle.

Main Results:

The technique allows for anatomical reconstruction of the AC joint.
Simultaneous restoration of axial stability was achieved.
The method demonstrated a reduced occurrence of redislocations and iatrogenic fractures.

Conclusions:

This technique offers an effective approach for AC joint dislocation treatment.
It provides anatomical repair and restores joint stability.
The described method may decrease complication rates compared to other techniques.