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Background: There are two principles of operative technique for the treatment of acromioclavicular dislocation. One is transarticular of the acromioclavicular fixation of the acromioclavicular joint and the other is coracoclavicular fixation. Both two techniques may or may not include ligamentous repaired. However, both techniques have many complications. Objective: To present a new operative technique which based on extensive studying of anatomy of this particular area. This technique is open reduction and transfixation the lateral end of clavicle to the base of acromion process with single malleolar screw and washer. Study Design: Case report. Setting: Orthopedics department, Faculty of Medicine, Khon Kaen University.
Results: The reliability technique was presented by using the aiming device for directing the drill from the clavicle to scapular spine. This technique was done in one patient. This technique provides the ritid and stable fixation of the joint, therefore, the patient can move his shoulder immediately after operation. Conclusion: The new operative technique for acromioclavicular joint dislocation has been presented.