Abstract
Even with ongoing research and surgical innovations no gold standard for the treatment of disruption of the acromioclavicular (AC) joint exists; however, surgical intervention is recommended if a combination of horizontal and vertical instability is present. Acute high-grade AC joint luxation should be treated within 2–3 weeks after the initial trauma. Surgeons should aim for an anatomical repositioning and stabilization in the vertical and horizontal planes. Therefore, the combination of coracoclavicular (CC) ligament reconstruction using double-button suture constructs and additional transacromial suture cerclage is recommended. For chronic AC joint luxation a biological augmentation with a free tendon graft is mandatory in addition to anatomical repositioning and primary stabilization. Several arthroscopically assisted and open techniques have been described for simultaneous AC and CC stabilization.
| Translated title of the contribution | Innovations for treatment of acromioclavicular joint instability |
|---|---|
| Original language | German |
| Pages (from-to) | 11-14 |
| Number of pages | 4 |
| Journal | Arthroskopie |
| Volume | 32 |
| Issue number | 1 |
| DOIs | |
| State | Published - 1 Jan 2019 |