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Check out Dr. Garcia’s minimally invasive and arthroscopic assisted AC joint reconstruction.
Dr. Garcia specializes in complex knee, shoulder and elbow sports surgeries. He has prepared a number of surgical videos below to help patients better understand their procedures. He is frequently updating his surgical video database so check back soon for further updates.
In this video, Dr. Grant Garcia demonstrates his advanced, minimally invasive arthroscopic-assisted AC (Acromioclavicular) and CC (Coracoclavicular) joint reconstruction. This procedure is designed to restore multi-directional stability to a shoulder with a severe, chronic separation where both sets of stabilizing ligaments have completely torn.
The surgical reconstruction progresses through several key stages:
Arthroscopic Isolation & Skeletonization
- Diagnostic Sweep: The procedure opens with a standard diagnostic arthroscopy from the posterior portal to inspect the inner shoulder joint.
- Coracoid Clearing: Dr. Garcia moves into the subacromial space, utilizing a combination of a radiofrequency (RF) wand and an arthroscopic shaver to skeletonize the coracoid process. He clears the soft tissue off the lateral border and under-surface of the coracoid while pushing remaining tissues inferiorly. The RF wand is deliberately used as a blunt dissector to avoid any damage to nearby major neurovascular structures.
- Prepping the Healing Bed: Dr. Garcia establishes an accessory anterior-inferior working portal with a large 8.25 mm cannula and switches to a 70-degree scope to perfectly visualize the bone landmarks. The under-surface of the coracoid is gently abraded with a shaver to create a raw, textured bone bed that will optimize biological healing of the soft tissue graft.
