By Ken Yamaguchi MD, Robert Tashjian MD (auth.), Jeffrey S. Abrams MD, Robert H. Bell MD (eds.)
This state-of-the-art textual content is written through pioneers within the box who advisor the reader throughout the technical steps of rotator cuff techniques. in accordance with growing to be sufferer call for for much less invasive remedies, emphasis is put on arthroscopy. The well timed e-book solutions key questions raised at educational classes, comparable to tips to convert from mini-open fix to all arthroscopic fix. the basics, together with sufferer positioning, suture anchor ideas, and knot tying, are lined as well as state of the art innovations. Clavicle resection, tendon to tuberosity fix, PASTA fix, huge and big fix innovations, and subscapularis upkeep are one of the methods unique. The publication additionally offers margin convergence fix, period slides, matrix grafts, and biceps tendon problems. Chapters on mechanics and therapeutic, postoperative rehabilitation, and fending off problems whole the publication. The step by step procedure of the textual content is supplemented through a wealth of illustrations and images. Orthopedic citizens and skilled surgeons will locate the scientific pearls highlighted in the course of the book.
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Additional info for Arthroscopic Rotator Cuff Surgery: A Practical Approach to Management
5 mm) ﬁts into the conﬁned space and dense bone of the glenoid rim but will not work as effectively (with the possible exception of subscapularis tendon repairs) in the less dense bone of the humeral tuberosity. Some of these smaller sutures cannot accommodate two #2 sutures commonly chosen for rotator cuff tendon repair, which is an additional limitation that makes them less desirable. 3. Anchor Shape Anchors with different shapes are available. They can be classiﬁed as screw-in and non–screw-in anchors.
Candid preoperative discussion regarding your surgical approach is an important consideration as you transition to arthroscopic repairs. When beginning cuff repairs arthroscopically, you might inform your patients that some of the procedure will be done arthroscopically, with the ﬁnal repair and assessment likely carried out through a mini-open approach. Patients may prefer an arthroscopic approach, but they will likely most depend upon your best-quality repair. 4. 1. Positioning and Setup Patient positioning is surgeon preference.
A monitor is located for easy viewing, usually across from the surgeon near the head of the table. The arm is supported in 30º to 40º abduction and 15º of forward ﬂexion using 10#s to suspend rather than place signiﬁcant traction on the shoulder (this shoulder position is varied during the case depending on the access necessary to speciﬁc locations). Numerous sterile sleeves and gauntlet devices are commercially available to support the arm. Cushions pad the dependent knee and ankle. A routine sterile prepration and drape are then performed.