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These are unstable injuries and have shown a high rate of nonunion when managed conservatively. However, surgical strategies often require a second surgery for hardware removal. We describe an arthroscopic\u2010assisted technique to repair the acromioclavicular fracture\u2010dislocation without implants, using a double cerclage and osteosutures. This technique does not require specific instrumentation, avoids clavicle\/coracoid drilling, and minimizes secondary irritation related to hardware. This can be used in different anatomic locations and can theoretically reduce the chances of symptomatic hardware, reoperation rates, and iatrogenic fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf01104:atn2bf01104-vimg-mmc2\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2021.12.002","type":"journal-article","created":{"date-parts":[[2022,3,16]],"date-time":"2022-03-16T17:27:45Z","timestamp":1647451665000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Acromioclavicular Fracture\u2010Dislocation Fixation Technique With Cerclages and Osteosutures: The \u201cInvisible\u201d Repair"],"prefix":"10.1002","volume":"11","author":[{"given":"Gonzalo","family":"Samitier","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Centro Quir\u00f3nsalud Aribau Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo","family":"Vinagre","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology Complexo Hospitalar do M\u00e9dio Ave Porto Portugal"},{"name":"Department of Orthopaedic Surgery and Traumatology Hospital Lus\u00edadas Porto 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