Finally the anterior graft limb is fixed onto the dorsal limb behind the clavicle using No. 2 non-resorbable sutures (Fig 23).
Especially in chronic cases, assessing the AC joint is also recommended. Once the coracoclavicular reconstruction is completed, the clavicular incision may be extended over the AC joint. The AC joint capsule is plicated with strong interrupted sutures to enhance the anteroposterior stability (Fig 24).
Once all the reconstructions are completed, the arthroscopic portals are closed with interrupted sutures while the clavicular wound is closed meticulously in layers.