Complete disruption of the acromioclavicular joint (Tossy III to VI) is an indication for operative care, especially in active people. Considering the literature, there is a multitude of possibilities in reconstructing the anatomical joint line and function. All of these have pros and cons. In our department, we found a new revolutionary anatomical one-stage procedure using the Tight Rope (Arthrex). In this article, we will describe the operative technique and its benefits.
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Hernegger et al. (2006) studied this question.
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