Acromioclavicular (AC) joint Reconstruction:
AC (acromioclavicular) joint reconstruction is a surgical procedure used to repair a damaged or dislocated AC joint, which is located at the top of the shoulder where the clavicle (collarbone) meets the acromion (a part of the scapula or shoulder blade). Injuries to the AC joint are relatively common, often resulting from sports-related trauma, falls, or accidents. Severe AC joint injuries, such as high-grade AC joint separations (also known as shoulder separations), may require surgical intervention when non-surgical treatments are insufficient.
The goal of AC joint reconstruction is to restore the normal alignment and stability of the joint. The procedure may involve various techniques, depending on the severity of the injury, the patient's age, activity level, and other factors. Here is an overview of the surgical approaches commonly used for AC joint reconstruction:
- Open Reduction and Internal Fixation (ORIF): This procedure is often used for high-grade AC joint separations. It involves making an incision over the AC joint and repositioning the displaced clavicle into its normal position. Surgeons may use hardware such as screws, plates, or sutures to stabilize the joint and promote healing.
- Coracoclavicular Ligament Reconstruction: In cases where there is significant ligament damage or the AC joint remains unstable after ORIF, the coracoclavicular ligaments (the ligaments that connect the clavicle and the coracoid process of the scapula) may be reconstructed using autograft (patient's own tissue) or allograft (donor tissue) to restore joint stability.
- Arthroscopic AC Joint Reconstruction: In some cases, an arthroscopic approach may be used for AC joint reconstruction. Arthroscopy involves small incisions and the use of a camera to visualize and repair the joint. This approach is less invasive and may offer quicker recovery times.
Recovery and rehabilitation following AC joint reconstruction can vary depending on the surgical technique used, the extent of the injury, and individual patient factors. Physical therapy and rehabilitation are essential to regain shoulder function, strength, and range of motion. Full recovery can take several weeks to several months.
As with any surgical procedure, there are potential risks and complications associated with AC joint reconstruction, and the choice of surgical technique should be made after a thorough evaluation by an orthopedic surgeon. Patients should have a detailed discussion with their surgeon to understand the benefits, risks, and expected outcomes of the procedure. The decision to undergo AC joint reconstruction should be based on the specific nature of the injury and the individual's goals for shoulder function and activity level.
Ask your primary care doctor for a referral to an orthopaedic surgeon, or book an appointment online.