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Acromioclavicular Joint Reconstruction Using Both Hook Plate Fixation and Combined Coracoclavicular and Acromioclavicular Graft Placement

February 10, 2018

Contributors: Matthew Daniel Budge, MD; Matthew Daniel Budge, MD

Keywords: Bony Procedure

Treatment of acute and chronic symptomatic type III, IV, and V acromioclavicular (AC) joint injuries continues to be a challenging problem in orthopaedic surgery. There is currently no consensus on optimal surgical management and a wide variety of reconstructive procedures have been described. Unfortunately, previous attempts at surgical treatment have reported unacceptably high complication rates between 20-40%. Recently both hook plate reconstruction and combined acromioclavicular (AC) and coracoclavicular (CC) graft reconstruction have shown improved biomechanical stability and good outcomes for these challenging injuries. The aim of this video is to show a new technique combining both hook plate fixation and AC and CC graft placement to reconstruct the acromioclavicular joint. The rationale behind this procedure is that combining CC and AC ligament reconstruction with a temporary rigid internal splint, such as a hook plate, may produce a robust enough construct to avoid the relatively high failure rates described in previous types of acromioclavicular joint reconstruction.

Results for "Surgical Exposure"