APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-AC Joint Reconstruction: Technical Pearls to Make This Reproducibly Successful

AC Joint Reconstruction: Technical Pearls to Make This Reproducibly Successful

Video Transcription

Video Summary

In this video, Dr. Misty Suri discusses AC joint reconstruction and how to make it successful. He explains the Rockwood classification system and the difference between type 1 and type 2 AC joint injuries. Non-operative approaches are recommended for type 1, type 2, and type 3 injuries, while operative approaches are necessary for higher levels of deformity. Dr. Suri discusses various surgical procedures for AC joint reconstruction, including the modified Weaver-Dunn, the Buzacca technique, using autographs or analog graphs, the Bosworth screw, flip buttons, and the hook plate. He favors the hook plate as it provides successful and reproducible results. Two case studies are presented, showcasing patients who underwent AC joint reconstruction using the hook plate and experienced positive outcomes. In chronic injuries, Dr. Suri recommends using an allograft beneath the hook plate for easier removal. He concludes that there are multiple ways to fix AC joint injuries, but he has found the hook plate to be the most successful in his practice over the past 14 years. The video ends with Dr. Suri expressing his appreciation and thanks.

Asset Caption

Misty Suri, M.D., M.S.

Keywords

AC joint reconstruction

Rockwood classification system

AC joint injuries

surgical procedures

hook plate