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The AC TightRope family of products provides for easy reconstruction of acute AC joint separations in a minimally invasive manner, either open or arthroscopic. The four-strand continuous loop of #5 FiberWire interlaced between two titanium buttons provides strong mechanical fixation while the coracoclavicular and acromioclavicular ligament disruptions heal. Precise bone tunnels are made through the clavicle and coracoid using the specialized instrumentation in the Acromioclavicular Joint Master Set, allowing for simplified passing of the distal button through the transosseous tunnels. Fixation is achieved by cinching down the proximal button over the clavicle and tying a knot over the button.

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