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Independent Arthroscopy-assisted Acromioclavicular Ligament Reconstruction

A Novel Technique

Aveledo, Ricardo, MD*,†; Ibrahim, Daniel*; Lam, Patrick, PhD*; Murrell, Oliver, BA*; Murrell, George A. C., MD, DPhil*

Techniques in Shoulder & Elbow Surgery: June 2019 - Volume 20 - Issue 2 - p 47–50
doi: 10.1097/BTE.0000000000000165

A large number of surgical techniques have been described for acromioclavicular (AC) joint (ACJ) dislocations. Most are based on the reconstruction of the coracoclavicular ligaments. These techniques provide the ACJ with vertical stability and have a high. complication rate. Advances in material technology and implants have allowed us to develop a surgical, technique approach to treat ACJ dislocations, that provides this joint with stability in both, vertical and horizontal planes, reconstructing only the AC ligaments. Two drilled holes are made in the acromion under arthoscopic control. Then, 2 tape-type sutures are passed through these holes and fixed to the distal clavicle with anchors, in a suture bridge configuration.

*Department of Orthopaedic Surgery and Sports Medicine, Orthopaedic Research Institute, St George Hospital Campus, University of New South Wales, Sydney, NSW, Australia

Department of Orthopaedic Surgery, University Hospital of Nuestra Señora de Candelaria, Tenerife, Spain

The authors declare no conflict of interest.

Reprints: George A. C. Murrell, MD, DPhil, Sports Medicine and Shoulder Service, Orthopaedic Research Institute, St. George Hospital Campus, University of New South Wales, Research and Education Building, 2nd Floor, 4-10 South Street, Kogarah, Sydney, NSW 2217, Australia (e-mail:

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