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Acromio-Clavicular Joint (ACJ) Reconstruction


Reduce pain, shoulder dysfunction or neurological symptoms due to an ACJ dislocation

Synthetic graft used to replace ruptured coracoclavicular ligaments


Surgery type:        



General (asleep) usually with a nerve block


Incision form end of clavicle (lump) to coracoid process in front of shoulder

End of clavicle identified and trimmed to reduce chance of later arthritis

Clavicle reduced into joint to check initial position

Muscle over coracoid process split and bone identified

Tunnel created under coracoid and length gauge passed around bone

Gauge passed below and around clavicle

Clavicle reduced and graft length measured

Real graft (PTFE/Teflon) shuttled around coracoid and clavicle

ACJ/Clavicle reduced and single screw and washer used to fix graft in place

Ligaments and joint capsule repaired with stitches



45-60 mins


1- oblique on front of shoulder- approx. 5-8cm


As comfortable but usually majority of time for 3 weeks.

Remove for exercises and as comfortable

Aim to wean from sling completely by 3 weeks. Teach axilla hygiene and washing out of sling



Non-contact sports and free swimming at 3 months

Contact and racquet sports at 4 months



Sedentary work- 4 weeks

Physical job- 8-10 weeks

Repetitive over shoulder height work- up to 12 weeks



Short distances as pain allows from 3 weeks

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