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Fig. 3 | European Journal of Medical Research

Fig. 3

From: Different treatment strategies for acromioclavicular dislocation injuries: a nationwide survey on open/minimally invasive and arthroscopic concepts

Fig. 3

Preferred operative treatment options of types IV, V and VI lesions. °Dog Bone Button Technology (Arthrex Inc., Naples Florida USA). *MINAR (minimally invasive AC joint reconstruction): The coracoid process is exposed by a 3-cm-long skin incision. A hole is drilled through the coracoid process with the help of a specific aiming device. The suture cerclage is connected to two buttons. One of the buttons is then pushed through the coracoid process. The button is flipped and the suture is thereby fixed to the coracoid process. The other anchor is pulled through a hole in the clavicle and the cerclage is secured with a surgical knot after reduction of the AC joint. +Others including Hook plate combined with CC stabilization/Mitek anchor/extended capsule fixation; BIPOD technique (arthroscopic repair CC and AC ligaments to achieve bidirectional stability), and other combinations according to the individual in-hospital protocol

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