Treatment for Acromioclavicular joint separation in Rockwood type IV-VI (Complete tare)
by Botun Sataporn
1. Weaver and Dunn
1.1. Acromioclavicular joint reconstruction
1.2. need to add some technique for good stability
1.2.1. suture loop
1.2.2. fiber wire
2. Dog Bone button
2.1. good stability in vertical plane
2.2. coracoclavicular ligament repair
2.3. weakness
2.3.1. coracoid base fracture
2.3.2. button cut out
2.3.3. osteilysis
3. Two-tunnel
3.1. coracoclavicular ligament repair
3.2. commonly use
3.3. avoid pinning
3.4. failures
3.4.1. from malposition
3.4.1.1. osteolysis
3.4.1.2. not stabilize
3.4.1.3. device tear
4. Recover AC anatomy
4.1. Bands
4.1.1. tension
4.1.2. pin
4.2. plate, screw
4.3. loops
5. Hook plate
5.1. commonly use
5.2. Good stability if use many screw
5.3. need to remove device
5.4. failure
5.4.1. joint damage
5.4.2. screw pull out
5.4.3. osteolysis
6. K-wire
6.1. original treatment
6.2. weakness
6.2.1. incurrent disease
6.2.2. pin migration
6.2.3. damage to nerve, vassels
6.2.4. large exposure
6.2.5. soft tissue damaged
7. Bosworth screw
7.1. Coracoclavicular fixation
7.2. weakness
7.2.1. effect from incorrect placement
7.2.1.1. screw breakage
7.2.1.2. need to remove device