Surgical Technique AC Repair - Dog Bone Button Stabilization of Acute Acromioclavicular Joint Dislocations using Dog Bone Button Technology

Stabilization of Acute Acromioclavicular Joint Dislocations using Dog Bone Button Technology The Dog Bone Button is a precontoured, titanium button that allows the use of multiple FiberTapes® for AC joint reduction, providing a construct that is twice as strong as existing AC joint repair devices. Since the buttons are attached to the FiberTapes independently, only suture material is passed through the clavicle and coracoid tunnels, allowing the repair to be completed through smaller tunnels. Tunnel drilling is made easier with new AC Guide arms and a new 2.4 or 3 mm cannulated Drill. The guide...

1 Through the low anterior portal, place the appropriate AC Guide* under the coracoid base and drill the clavicle and coracoid tunnels using the 2.4 or 3 mm cannulated Drill. *Use the left guide (AR-2254L) for a left shoulder and use the right guide (AR-2254R) for a right shoulder. 3 Clip the limbs of a FiberTape Loop and a TigerTape® Loop into the slots of a Dog Bone Button so that the tapes form a U-shape. Slide the button to the base of the tapes. The tapes should wrap around the laser line, ensuring that the concavity of the button will sit against the base of the coracoid. 2 Remove the trocar...

Surgical Technique 5 Seat the Dog Bone Button at the base of the coracoid. The concavity should seat against the coracoid and the orientation line should be in line with the arch of the coracoid. 6 Cut the splice from each loop and clip a second Dog Bone Button onto the suture limbs exiting the clavicle. The concavity should face the clavicle and the orientation line should be in line with the axis of the clavicle. Post-op Protocol Place the patient in a sling for six weeks, allowing elbow motion and gentle passive external rotation with the elbow by the side. At six weeks, discontinue sling...

Ordering Information Implants: Dog Bone Button (two required) FiberTape Loop TigerTape Loop Required Instruments: AC Joint Reconstruction Master Set (AR-2255MS) includes: Cannulated Drill, 4 mm Cannulated Drill, 4.5 mm Cannulated Headed Reamer 5 mm Cannulated Headed Reamer 5.5 mm Cannulated Headed Reamer 6 mm Cannulated Headed Reamer 6.5 mm ACL Guide Frame Handle AC Guide, left AC Guide, right Fixed Guide Guide Pin Sleeve Clavicle Drill Positioner Drill Stop Drill Sleeve, 3 mm AC Tenodesis Screw Driver AC Joint Coracoid Graft Passer, left AC Joint Coracoid Graft Passer, right Graft Sizer Forked...

This surgical technique has been developed in cooperation with Paul Brady, M.D., Knoxville, TN. www.arthrex.com ...up-to-date technology just a click away This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct...