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Arthroscopic Assisted Acromioclavicular Joint Stabilization Using a Tensionable Suture Button Construct and Cerclage
Sean Wei Loong Ho1,2, Yu Qian Cheong1, T Jegathesan1,2
1Department of Orthopaedic Surgery Tan Tock Seng Hospital Singapore Singapore.
Arthroscopy Techniques
|July 28, 2026
Summary
This study presents a novel surgical technique for acromioclavicular joint stabilization using a tensionable button system and cerclage tapes. This method aims to improve stability and reduce complications in acromioclavicular joint fixation.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanical Engineering
Background:
- Acromioclavicular (AC) joint injuries are common, often requiring surgical stabilization.
- Current fixation techniques for AC joint injuries have limitations, including loss of reduction and implant-related complications.
- A need exists for a reproducible and stable AC joint fixation method.
Purpose of the Study:
- To describe a novel, reproducible surgical technique for AC joint stabilization.
- To introduce a tensionable coracoclavicular button system augmented with cerclage suture tapes.
- To enhance stability and potentially minimize complications in AC joint repair.
Main Methods:
- A technical note detailing a specific surgical approach for AC joint stabilization.
- Utilizes a tensionable coracoclavicular button system.
- Augments the button system with cerclage suture tapes for enhanced fixation.
Main Results:
- The described technique allows for precise tensioning of the coracoclavicular construct.
- Offers improved stability compared to some existing methods.
- Potentially reduces the need for additional hardware or hardware removal procedures.
Conclusions:
- The described technique provides a reproducible method for AC joint stabilization.
- The augmented button system offers enhanced stability and may mitigate common complications.
- This approach represents a promising advancement in surgical management of AC joint injuries.
