Coracoclavicular and acromioclavicular ligament reconstruction with a cost-effective and reproducible method: A new surgical technique

Abstract

Background: Treatment of Acute Acromioclavicular joint injuries is controversial with varieties of treatment modalities. Newer treatment methods are expensive requiring additional cost and advance devices assistance. This technique demonstrates a very cost-effective (less than USD 25) method of fixing Acromioclavicular joint injuries suitable for developing nations. Methods: From Year 2021 to 2023 we have performed 14 cases (aged 35-65 years) with good results with new surgical technique that utilizes 3-and 4-hole mini stainless-steel plates with no. 5 polyester suture, anatomic landmarks drilling based on study by Nai-Feng Zhu et al. (2015), and additional secure fixation at Acromioclavicular joint. Only 2 mm drill holes were used to avoid suture creep. No arthroscopy assisted device, titanium endo-buttons, tension-band, special hardware were used. All patients were counselled for strict post-op rehabilitation protocol for 3 months before full range of motion activities were allowed. Result: This surgical technique provided secure fixation at coracoclavicular joints as well as acromioclavicular joints with 2 mm drill portals with minimum suture creep. Conclusion:Our technique represents an anatomical, very cost-effective, and very reproducible way for treating acute AC joint separations especially focusing on developing countries.