AC joint repair surgery is a significant orthopedic procedure that helps restore function and stability to the acromioclavicular (AC) joint, which connects the collarbone to the shoulder blade. Understanding what the surgery involves and what to expect during recovery is crucial for patients preparing for this procedure.
Whether you've experienced a traumatic shoulder injury or have chronic AC joint problems, knowing the details about surgical repair and rehabilitation can help you make informed decisions about your treatment and set realistic expectations for your recovery journey.
Understanding AC Joint Repair Surgery
AC joint repair surgery typically involves reconstructing the damaged ligaments that stabilize the joint between the acromion (part of the shoulder blade) and the clavicle (collarbone). The procedure may be performed arthroscopically through small incisions or through traditional open surgery, depending on the extent of the injury and the surgeon's preferred technique.
During the surgery, your surgeon will realign the separated joint and may use various fixation methods, including surgical buttons, plates, or strong sutures to hold the joint in its proper position while healing occurs.
The Surgical Procedure
The surgery typically follows these main steps:
- Initial evaluation under anesthesia
- Removal of damaged tissue
- Joint reduction and realignment
- Ligament reconstruction
- Placement of fixation devices
- Closure and bandaging
Post-Surgery Recovery Process
Recovery from AC joint repair requires patience and dedication to rehabilitation. The initial recovery phase focuses on protecting the surgical repair while managing pain and inflammation. Your surgeon will provide specific guidelines, but most patients can expect several distinct recovery phases.
Initial Recovery Phase (0-6 weeks)
During the first six weeks after surgery, the focus is on:
- Wearing a protective sling
- Managing pain and swelling
- Performing gentle passive exercises as directed
- Protecting the surgical site
- Attending follow-up appointments
Intermediate Recovery Phase (6-12 weeks)
As healing progresses, you'll typically begin:
- More active range of motion exercises
- Gradual strengthening activities
- Increased use of the arm for daily activities
- Physical therapy sessions
Return to Activities
The timeline for returning to various activities varies based on individual healing and the specific surgical procedure performed. Most patients can expect to resume:
- Light desk work: 1-2 weeks post-surgery
- Driving: 4-6 weeks post-surgery
- Light physical work: 8-12 weeks post-surgery
- Sports activities: 4-6 months post-surgery
Potential Complications and Risks
While AC joint repair surgery is generally safe, patients should be aware of potential complications:
- Infection
- Hardware problems
- Joint stiffness
- Persistent pain
- Failed reconstruction
- Delayed healing
Frequently Asked Questions
What is the typical recovery time after AC joint repair surgery? The typical recovery time ranges from 4-6 months for full healing and return to activities. However, initial recovery milestones occur throughout this period, with many patients returning to light activities within 6-12 weeks.
How long do I need to wear a sling following AC joint reconstruction? Most patients need to wear a sling for 4-6 weeks after surgery. The exact duration will depend on your surgeon's protocol and the stability of the repair.
When can I safely return to work or sports after AC joint repair surgery? Return to work varies by occupation: desk work may be possible within 1-2 weeks, while physical jobs may require 8-12 weeks. Return to sports typically occurs between 4-6 months post-surgery, depending on the activity and your progress in rehabilitation.
What does AC joint repair surgery involve and how is it performed? The surgery involves realigning the separated joint and reconstructing damaged ligaments using surgical fixation methods. It may be performed arthroscopically or through open surgery, depending on the injury severity and surgical approach chosen.
What are the common risks and complications associated with AC joint repair surgery? Common risks include infection, hardware problems, joint stiffness, persistent pain, and potential failure of the reconstruction. Following post-operative instructions carefully helps minimize these risks.
