Acromioclavicular Dislocation with TightRope Device

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

Training Focus:

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

Detailed Content:

• Optimized Preoperative Planning: Marking methodology in Zanca and Apical radiographic views for precise identification of the target point on the coracoid process, using diluted adrenaline solution for hemostasis.
• Surgical Access and Controlled Dissection: Incision and dissection technique with edge hemostasis for clear visibility, identification of the upper 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 exposure of the coracoid, distinguishing soft tissue from bone, and alignment of the coracoid hole with the clavicle tunnel.
• Creation of Strategic Bone Tunnels: Detailed procedures for drilling the coracoid (base of the process, with electric scalpel and guide wire/cannulated drill) and the clavicle (anterior middle third, aligned with the coracoid tunnel, avoiding the posterior middle third to prevent anteriorization of the clavicle).
• Safe Insertion of the TightRope: Technique for passing the flexible wire for transporting the TightRope wires, introduction of the device through the clavicle and coracoid hole, with repetitive piston-like maneuvers to ensure proper "tipping" and locking, and digital cleaning of interposed tissues.
• Anatomical Reduction and Stabilization: Procedures to alternately tighten the wires until the reduction of the dislocation is confirmed radiographically in the AP and apical views, and closure by layers with intradermal suture for excellent aesthetics.

Included Material:

• Detailed PDF: A concise document summarizing the surgical treatment procedure for acromioclavicular dislocation with the TightRope device, covering planning, access, exposure, creation of bone tunnels, implant insertion, reduction, and closure.

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