Overview
ACJ reconstruction (distal clavicle ligament reconstruction) restores stability to a damaged or unstable ACJ. This procedure is recommended for chronic ACJ instability or failed previous repair. Techniques may involve hamstring autograft or synthetic ligament reconstruction. Most patients achieve excellent stability and return to sport.
Common symptoms
- Chronic shoulder pain at ACJ
- Visible prominence or prominence of distal clavicle
- History of ACJ separation or dislocation
- Instability sensation in upper shoulder
The procedure
Mr Mitra typically performs arthroscopic-assisted or arthroscopic reconstruction using hamstring autograft or synthetic material to restore ACJ ligaments. Specialized anchors are placed to secure the graft in optimal position. This technique provides excellent stability while maintaining normal anatomy and shoulder mechanics.
Recovery
Initial recovery focuses on protection with sling immobilisation for 4-6 weeks. Early physiotherapy begins to restore motion gradually. Strengthening progresses carefully to protect the repair. Most patients return to normal activities by 8-12 weeks and sport by 4-6 months depending on demands.
Quick facts
Procedure time
60-90 minutes
Hospital stay
Day case or overnight
Recovery time
3-4 months
Success rate
90-95%
Covered by all major UK insurers. No GP referral needed for self-pay.
WHAT TO EXPECT
Your recovery pathway
From your first appointment to full recovery, here’s exactly what to expect — so you know every step before you even book.
01
You get seen
Initial consultation and examination with Mr Mitra to confirm your diagnosis.
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