TechniquesA Surgical Technique for Revision of Failed Acromioclavicular Joint ReconstructionRobinson, Paul M. FRCS (Tr&Orth)*; Kanthasamy, Senthooran MBBS, BSc (Hons), MRCS (Eng)*; Funk, Lennard FRCS (Tr&Orth)†Author Information *Department of Trauma and Orthopaedics, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Peterborough †Department of Orthopaedics, Wrightington Hospital, Wigan, UK The work is attributed to: Upper Limb Unit, Department of Orthopaedics, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan WN6 9EP, UK. The authors declare no conflict of interest. Reprints: Paul M. Robinson, FRCS (Tr&Orth), Department of Trauma and Orthopaedics, Peterborough City Hospital, North West Anglia NHS Foundation Trust, Bretton Gate, Peterborough PE3 9GZ, UK (e-mail: firstname.lastname@example.org). Techniques in Shoulder & Elbow Surgery: June 2020 - Volume 21 - Issue 2 - p 37-41 doi: 10.1097/BTE.0000000000000190 Buy Metrics Abstract There is no “gold standard” technique for the surgical stabilization of acromioclavicular joint (ACJ) disruptions and each of the described techniques has a failure rate. The management of failed ACJ stabilizations is a difficult problem and salvage procedures may often be constrained by the original procedure and the resultant anatomy. Reliable anatomic and biomechanically robust revision procedures for failed ACJ stabilization are therefore required. We describe a technique for revision stabilization of the ACJ that utilizes a synthetic ligament in combination with augmentation from the coracoacromial ligament and biceps short head aponeurosis (“biceps flip” procedure). Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.