# TightRope Technique as an Alternative Surgical Approach for Acromioclavicular Joint Dislocation: A Case Report of a Minimally Invasive Fixation and Review of Literature

## TL;DR

A minimally invasive TightRope technique successfully treated a shoulder joint dislocation, offering advantages over traditional surgical methods.

## Contribution

The paper introduces the TightRope technique as a novel minimally invasive alternative for treating acromioclavicular joint dislocations.

## Key findings

- A 34-year-old patient with a Rockwood Type III AC joint dislocation was successfully treated with TightRope fixation.
- Postoperative evaluations showed optimal implant positioning and stable fixation with full range of motion achieved by the second month.
- The TightRope technique offers dynamic stabilization, early mobilization, and fewer complications compared to traditional methods.

## Abstract

Acromioclavicular (AC) joint dislocations are common shoulder injuries, particularly in athletes and individuals exposed to high-impact trauma. The management of these injuries varies depending on severity, with the Rockwood classification guiding treatment decisions. While hook plates, coracoclavicular (CC) ligament reconstructions, and screw fixations remain the standard surgical techniques, a minimally invasive alternative such as the TightRope technique is emerging as an effective option. This report presents a case of a 34-year-old male with a Rockwood Type III AC joint dislocation, successfully treated with TightRope fixation. Postoperative radiographic evaluations confirmed optimal implant positioning and stable fixation, with the patient achieving full range of motion by the second postoperative month. The TightRope technique provides dynamic joint stabilization, early mobilization, and fewer implant-related complications compared to traditional methods. Given its advantages, it should always be considered as an alternative treatment option, particularly for young and athletic individuals who require early functional recovery. Expanding awareness and further clinical research may help establish its broader use in surgical practice.