Enhance acromioclavicular dislocation stabilization. This training offers a technical immersion in reconstruction with a TightRope device via open approach, presented in 4K video from the surgeon's perspective, addressing visualization and technique precision.

Training Focus:

• Surgical treatment of acromioclavicular dislocation with a TightRope device.
• Preoperative planning and precise demarcation.
• Careful dissection and surgical field management.
• Strategic creation of bone tunnels in the clavicle and coracoid process.
• Insertion and locking of the TightRope device.

Detailed Content:

• Optimized Preoperative Planning: Methodology for marking on Zanca and Apical radiographic views for precise identification of the target point on the coracoid process, with the use of a diluted adrenaline solution for hemostasis.
• Surgical Access and Controlled Dissection: Incision and dissection technique by planes with border hemostasis for clear visibility, identification of the superior third of the clavicle and digital access to the coracoid process, including lateral detachment of the clavicle.
• Refined Anatomical Exposure: Use of Hohmann retractors for precise coracoid exposure, distinguishing soft tissue from bone, and alignment of the coracoid hole with the clavicle tunnel.
• Strategic Bone Tunnel Creation: Detailed procedures for drilling the coracoid (base of the process, with electrocautery and guidewire/cannulated drill) and the clavicle (anterior middle third, aligned with the coracoid tunnel, avoiding the posterior middle third to prevent anteriorization of the clavicle).
• Secure TightRope Insertion: Technique for passing the malleable wire to transport the TightRope sutures, introducing the device through the clavicle and coracoid holes, with repetitive piston maneuvers to ensure "flipping" and proper locking, and digital cleaning of interposed tissues.
• Anatomical Reduction and Stabilization: Procedures for alternately tightening the sutures until dislocation reduction is confirmed radiographically on AP and apical views, and layered closure with intradermal suture for excellent aesthetics.

Included Material:

• Detailed PDF: An objective document summarizing the surgical treatment procedure for acromioclavicular dislocation with a TightRope device, covering planning, access, exposure, bone tunnel creation, implant insertion, reduction, and closure.

Enhance your skills in trauma surgery. Enroll now and master stabilization techniques for acromioclavicular dislocations.