Reconstruction of the Dislocated AC joint has been a condition which used to defy several techniques. The most reliable & modern technique is to reconstruct the torn AC ligamennt. This makes lot of sense as merely placing wires or screws across the joints is not going to make up for the loss of the ligament.

 

The Gracilis tendon is harvested from the leg and used to make the AC ligament. This ligament is accurately placed at the original site near the tear and is looped through the collar bone & the coracoid. The repair is so strong that hardly any immobilization is required post operatively.