Video Gallery

Video Gallery

Welcome to the AAOS Video Gallery, providing an enhanced viewing experience of AAOS video content.

To View the Video

Acromioclavicular Joint Reconstruction Using Both Hook Plate Fixation and Combined Coracoclavicular and Acromioclavicular Graft Placement

February 10, 2018

Contributors: Matthew Daniel Budge, MD; Matthew Daniel Budge, MD

Keywords: Bony Procedure

Management of acute and chronic symptomatic type III, type IV, and type V acromioclavicular (AC) joint injuries continues to be a challenge in orthopaedic surgery. No consensus currently exists on the optimal surgical treatment option, and various reconstruction procedures have been described. Previous surgical treatment attempts have resulted in an unacceptably high complication rate (20% to 40%). Recently, hook plate reconstruction and combined AC and coracoclavicular graft reconstruction have resulted in improved biomechanical stability and good outcomes in patients with these challenging injuries. This video demonstrates a new technique for AC joint reconstruction that involves hook plate fixation and AC and coracoclavicular graft placement. Performing coracoclavicular and AC ligament reconstruction in combination with the use of a temporary rigid internal splint, such as a hook plate, may result in a construct robust enough to avoid the relatively high failure rates associated with previous AC joint reconstruction techniques.

Results for "Surgical Exposure"