Complications after acromioclavicular joint reconstruction(AC) joint injuries represent 12 percent of all traumatic shoulder girdle injuries. Historically, surgical reconstruction of a disrupted AC joint has resulted in high complication rates. In recent years, there has been a movement towards anatomic coracoclavicular (CC) ligament fixation and reconstruction. The purpose of this study is to analyze the unique complications associated with these anatomic CC ligament procedures using either cortical fixation buttons (CFBs) or tendon grafts (TGs) and to evaluate the effect that these complications have on patient outcomes.

The study analyzed surgical treatment for AC joint dislocations. This surgical treatment was performed on 3 women (4 shoulders) and 52 men (55 shoulders) with a mean age of 43.6 years (range, 18-71 years); 13 shoulders (22.0%) underwent fixation using the CFB technique, and 46 shoulders (78.0%) underwent reconstruction using the TG technique.

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Peter Millett MD, Orthopedic Knee Elbow Shoulder Specialist
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