TechniqueEvaluation of the Surgical Treatment of Acromioclavicular Joint Dislocation With a New Option for Temporary Fixation of the Acromioclavicular JointCarrera, Eduardo da F. MD, PhD*; Pierami, Rafael MD*; Sugawara, Marcel J. MD, PhD*; Nicolao, Fabio A. MD*; Netto, Nicola A. MD, PhD†; Matsumoto, Marcelo H. MD, PhD†Author Information Departments of *Orthopedics and Traumatology, Division of Shoulder and Elbow Surgery †Orthopedics and Traumatology, Division of Shoulder and Elbow Surgery Division, Federal University of Sao Paulo (UNIFESP), São Paulo, Brazil The authors declare no conflict of interest. Reprints: Rafael Pierami, MD, Departamento de Ortopedia e Traumatologia, Disciplina de Cirurgia da Mão e Membro Superior, Universidade Federal de São Paulo-Escola Paulista de Medicina, Rua Borges Lagoa 778, São Paulo 04038-032, Brazil (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: December 2013 - Volume 14 - Issue 4 - p 99-103 doi: 10.1097/BTE.0000000000000005 Buy Metrics Abstract The purpose of this paper is to evaluate the results of surgical treatment of acute acromioclavicular joint (ACJ) dislocation using coracoclavicular cerclage, coracoacromial ligament transfer to the distal third of the clavicle, and a new option for strengthening the temporary stabilization of the ACJ using a Kirschner wire between the clavicle and scapula. We evaluated 21 patients who underwent surgical treatment for ACJ dislocation. The average follow-up period was 18 months and varied from 13 to 23 months. Postoperative results, graded by the UCLA scoring system, were satisfactory in 20 patients. Using radiographic evaluation, 18 patients did not show loss of reduction. Among 21 patients who underwent surgical treatment, only 2 complications related to a new method of temporary ACJ stabilization were reported, neither of which appeared to influence the final outcome. The authors concluded that the surgical treatment of acute ACJ dislocation provides good functional and radiographic outcomes and that a new method of temporary ACJ stabilization described herein is an easy-to-perform and low-cost procedure with a low complication rate. © 2013 by Lippincott Williams & Wilkins, Inc.