Quadrupod arthroscopic-assisted all-suture acromioclavicular joint fixation

Abstract

Acromioclavicular (AC) joint injuries require surgical intervention in select cases. Fixation methods have varied from open to arthroscopic. However, most of the methods described have utilized hardware such as hook plates, adjustable suspensory devices, or screws. We describe an all suture arthroscopic-assisted reconstruction that uses only sutures tapes with no other hardware. The suture tapes stabilized both the AC and coracoclavicular (CC) joints without drilling through the coracoid. The advantage of this technique is that it is more anatomic, stabilizing both the AC and CC ligaments, and uses no hardware or grafts to fix the joint. It utilizes a smaller incision for the procedure. Suture tapes are stronger than normal sutures and hence provide better stability.