Arthroscopic Acromioclavicular Fixation With Suture Tape Augmentation After Coracoclavicular Fixation With Dog Bone Button: Surgical Technique Joong-Bae.

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Arthroscopic Acromioclavicular Fixation With Suture Tape Augmentation After Coracoclavicular Fixation With Dog Bone Button: Surgical Technique Joong-Bae Seo, M.D., Ph.D., Kang Heo, M.D., Seong-Jun Kim, M.D., Jae-Uk Jung, M.D., Jae-Sung Yoo, M.D. Arthroscopy Techniques Volume 7, Issue 11, Pages e1197-e1203 (November 2018) DOI: 10.1016/j.eats.2018.08.005 Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 1 Right shoulder of patient in the beach chair position. Portals are skin incisions marked preoperatively: posterior portal (A) as a viewing portal, anterior portal (B) as a working portal, lateral portal (C) as a viewing portal, and anterior acromioclavicular joint portal (D) as a working portal for acromioclavicular fixation. Arthroscopy Techniques 2018 7, e1197-e1203DOI: (10.1016/j.eats.2018.08.005) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic views of a right shoulder. (A) An acromioclavicular guide is placed on the center of the coracoid base through the anterior portal (B). Vertical stabilization is established with dog bone buttons. Arthroscopy Techniques 2018 7, e1197-e1203DOI: (10.1016/j.eats.2018.08.005) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Percutaneous spinal needle insertion into the anterior aspect of the acromioclavicular joint of a right shoulder. (B) Arthroscopic view of a right shoulder showing the anterior acromioclavicular joint. (A, acromion; ACJ, acromioclavicular joint; C, clavicle.) Arthroscopy Techniques 2018 7, e1197-e1203DOI: (10.1016/j.eats.2018.08.005) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic view of a right shoulder showing the ruptured acromioclavicular joint ligament (arrow). (A, acromion; C, clavicle.) Arthroscopy Techniques 2018 7, e1197-e1203DOI: (10.1016/j.eats.2018.08.005) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 5 Arthroscopic views of a right shoulder. (A) FiberTape-loaded 3.5-mm BioComposite SwiveLock is inserted into the acromion. (B) A second 3.5-mm anchor loaded with the opposite end of the FiberTape is then inserted into the distal clavicle. (A, acromion; C, clavicle.) Arthroscopy Techniques 2018 7, e1197-e1203DOI: (10.1016/j.eats.2018.08.005) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions

Fig 6 (A) Preoperative simple radiography shows Rockwood classification type V acromioclavicular joint injury. (B) Postoperative simple radiography shows reduction with dog bone button and suture tape augmentation. The arrowhead indicates that anchors were inserted in the center of bones. Arthroscopy Techniques 2018 7, e1197-e1203DOI: (10.1016/j.eats.2018.08.005) Copyright © 2018 Arthroscopy Association of North America Terms and Conditions