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. 2021 May 31;11:11397. doi: 10.1038/s41598-021-90989-8

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© The Author(s) 2021

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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MITR operative procedure. (a) AC joint dislocation. (b) Closed reduction and fixation of AC joint dislocation with a Kirschner wire. (c) A 2.0-mm Kirschner wire is introduced through the clavicle and coracoid. (d) A 4.0-mm drill bit is drilled into the base of the coracoid. (e) A nitinol suture passing wire is advanced down through the cannulated drill bit. (f) The drill bit is removed, and the two white traction sutures are inserted into the bone tunnels through the wire loop of the nitinol suture passing wire. (g) The TR system is introduced, and the reduction and stabilization of the AC joint are completed. (h) Final frontal view of AC joint fixed with the TR system.