AC Joint Reconstruction

1. Severe AC joint dislocation or repeated shoulder separations: When the clavicle is significantly displaced from its normal position due to a complete tear of the ligaments supporting the joint.
2. Persistent pain and instability: When conservative treatments like rest, physical therapy, and medications fail to alleviate pain and restore joint stability.
3. Chronic AC joint problems: In some cases, individuals may develop chronic AC joint issues, leading to recurrent dislocations or pain.

Various surgical techniques, including different types of screws, plates, and other fixation devices, can used to in AC joint reconstruction. It often involves using a device to hold the bones in the correct position, allowing the ligaments to heal. The device can be removed at a later date if necessary.  Sometimes a ligament graft, taken from another part of the body or a cadaver is used to reinforce the repair.

Dr. Petrigiano prefers to use the LockDown surgical device to enhance AC joint stability. This involves an implant of a synthetic ligament which studies have shown restores natural motion of the AC joint.

The timing of surgery for acromioclavicular (AC) joint reconstruction is an important factor in the overall success of the procedure.

In the case of acute injuries, immediate surgical intervention may be necessary, especially for severe dislocations or when there is persistent pain, significant deformity, or functional impairment. Early intervention can help reduce the displacement of the joint and reduce pain.

For chronic injuries, which have failed to improve with conservative treatment, surgery can be planned at a more elective pace. However, chronic dislocations can sometimes be more difficult to treat because of scarring, muscle shortening, and other changes that occur over time.

The optimal timing of surgery can also depend on a range of patient-specific factors, including overall health, activity levels, occupation, and patient preferences. For example, an athlete or a manual laborer may opt for a different treatment plan than someone with a sedentary lifestyle or lower functional demands on the shoulder.

As with any surgical procedure, the potential benefits of surgery should be weighed against the potential risks. A detailed discussion with Dr. Frank Petrigliano is essential to making an informed decision about treatment.

In all cases, it’s important to remember that surgery is just one part of treatment and that post-operative care, including physical therapy, is essential to regaining strength and mobility in the shoulder after AC joint reconstruction.