Arthroscopically assisted coracoclavicular ligament reconstruction for chronic acromioclavicular joint instability

The treatment of symptomatic chronic acromioclavicular joint dislocations can be challenging. Different surgical procedures have been described in the literature. We present an arthroscopically assisted stabilization using a gracilis tendon transclavicular-transcoracoid loop technique augmented with a Tight-Rope (Arthrex, Naples, FL, USA). In contrast to the classic Weaver–Dunn procedures this technique is designed to stabilize the acromioclavicular joint by recreating the anatomy of the coracoclavicular ligaments via a minimal invasive approach.