2021 Annual Meeting Shoulder Access Pass-AC Joint Fixation Failure

Video Transcription

Video Summary

The video discusses operative treatments for acute acromioclavicular (AC) joint injuries, focusing on restoring anatomy and secure fixation for healing. Traditional methods like the Weaver-Dunn procedure and large-graft tunnels had high failure rates and complications such as clavicle osteolysis and fractures. Percutaneous screw fixation remains viable but has risks and often needs hardware removal. Anatomical coracoclavicular ligament reconstruction using autografts/allografts with augmentation offers better results but still risks fixation loss and fractures. Surgeons should be prepared with options like hook plates for complications. Overall, strong yet flexible fixation and backup plans are essential due to frequent failures.

Asset Caption

Dr. Craig Bottoni

Keywords

acute acromioclavicular joint injury

operative treatments

Weaver-Dunn procedure

coracoclavicular ligament reconstruction

fixation complications