Abstract
Anatomic reduction and stable fixation remain challenging in acromioclavicular joint separation surgery. Traditional surgical techniques often lead to significant complications. The advent of arthroscopy and all-suture anchors has enabled more precise reduction and innovative fixation strategies. We have combined adjustable loop devices with all-suture anchors and arthroscopic techniques to replace traditional clavicular hook plates. This approach achieves anatomic reduction and flexible fixation, thereby reducing surgical risks and postoperative complications, while also facilitating early patient recovery.