ACJ Reconstruction Explained: When is it Needed and What to Expect

The acromioclavicular joint (ACJ), located where the collarbone meets the shoulder blade, plays a vital role in shoulder movement and stability. However, this joint can become unstable, particularly after high-energy injuries like falls or collisions. When conservative treatments fail, ACJ reconstruction surgery may be recommended to restore stability and alleviate pain.

Why is AC Joint Reconstruction Performed?

ACJ reconstruction is typically recommended in cases of severe ACJ instability. For less severe injuries, less invasive options, such as physiotherapy, are usually the first line of treatment. However, there are several key indicators that ACJ reconstruction might be necessary:

• Significant pain in the shoulder, particularly when lifting the arm.
• A noticeable bump or deformity at the ACJ, which is often a sign of joint dislocation or damage.
• Difficulty performing daily activities due to shoulder instability, affecting range of motion or strength.

For patients with more severe forms of ACJ injury, surgical intervention may be the only solution to restore shoulder functionality and reduce pain. Common procedures like hook plate fixation and Surgilig Ligament (Lockdown) Reconstruction are used to stabilize the joint and repair any damage to the ligaments involved in ACJ disruption.

What to Expect During ACJ Reconstruction Surgery

The procedure is usually done under general anesthesia and may involve a 5-7 cm incision along the top of the shoulder. During the surgery, the surgeon may reconstruct or stabilize the ligaments to restore the joint’s natural alignment. If required, techniques such as hook plate fixation or ligament reconstruction are used to ensure the joint heals properly.

Recovery After ACJ Reconstruction Surgery

Recovery from ACJ reconstruction is a gradual process. Here’s what you can expect during the healing period:

• Post-surgery immobilization: Your arm will need to be kept in a sling for at least 4-6 weeks to allow the repaired ligament to heal.
• Physical therapy: After the initial healing phase, physical therapy will be essential to regain mobility and strength in the shoulder. The therapy will gradually help restore movement and reduce stiffness.

While ACJ reconstruction is a relatively common procedure with a high success rate, it’s essential to follow your doctor’s recovery instructions carefully. This ensures that the healing process goes smoothly and helps avoid complications.

Things to Remember:

• ACJ reconstruction typically leads to good long-term results for patients, with most experiencing significant pain relief and a return to normal activities.
• It’s crucial to be vigilant during the recovery phase and report any concerning symptoms, such as increased pain, swelling, or fever, to your healthcare provider promptly.

In conclusion, ACJ reconstruction surgery can significantly improve the quality of life for individuals with severe shoulder instability. By understanding the surgery and the recovery process, patients can better prepare for a successful outcome. Always consult with a healthcare provider to determine the best treatment plan based on your specific condition.