AC Joint Reconstruction

Overview

AC joint reconstruction restores the normal position of the collarbone after a high-grade separation by rebuilding the coracoclavicular ligaments that hold it down, typically using a graft and fixation.

What the Procedure Involves

• Reconstruction of the coracoclavicular ligaments with a graft and/or fixation
• Restoration of the collarbone to its anatomic position
• Often performed with arthroscopic assistance

Who It's For

• High-grade AC joint separations (Type III–V)
• Persistent pain or deformity after a separation
• Overhead athletes or laborers with a symptomatic separation

Recovery & Rehabilitation

The arm is protected in a sling for about 6 weeks to protect the reconstruction, with motion progressed gradually and strengthening after 12 weeks. Return to contact sport is typically 5–6 months.

This page is for general education and is not a substitute for a medical evaluation. The right procedure depends on your individual diagnosis, anatomy, and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.