Disruption of acromioclavicular and coracoclavicular ligaments is a common injury of the shoulder.  The Arthrex TightRope® System is a device that consists of two buttons - one round clavicle button and one oblong coracoid button. The buttons are joined by a continuous loop of #5 FiberWire®. This technique provides a simple, reproducible, minimally invasive technique for acute acromioclavicular joint stabilization which enables a rapid return to activity for the acute injury. This procedure may be performed via mini open or arthroscopic technique. The TightRope®, Twin Tail TightRope® and the AC Dog Bone™ Button are designed for acute AC joint repair. 

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