Surgical Repair of Complete Acromioclavicular Separation

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Abstract
Proper strength, endurance, and motion after acromioclavicular separation are dependent upon maintenance of proper reduction until strong ligamentous healing can occur. This is best accomplished by open reduction of the joint, removal of debris from the joint cavity, strong temporary internal fixation, and provision for proper ligamentous reinforcement or reconstruction. This last feature is provided by turning the tendon of the short head of the biceps proximal-ward and suturing it to the clavicle. This reinforces any healing which can be accomplished by the original ligaments and replaces them altogether if the injury is old. There is no chronologic age limit for this procedure which achieves the desired objectives and enables the patient to be comfortable and useful during his convalescence. The 15 cases reviewed had follow-up periods as long as 73 months.

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