Ken Yamaguchi MD, Robert Tashjian MD (auth.), Jeffrey S.'s Arthroscopic Rotator Cuff Surgery: A Practical Approach to PDF
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 by means of pioneers within the box who consultant the reader throughout the technical steps of rotator cuff approaches. based on starting to be sufferer call for for much less invasive remedies, emphasis is put on arthroscopy. The well timed ebook solutions key questions raised at educational classes, similar to how you can convert from mini-open fix to all arthroscopic fix. the basics, together with sufferer positioning, suture anchor concepts, and knot tying, are coated as well as cutting-edge concepts. Clavicle resection, tendon to tuberosity fix, PASTA fix, huge and large fix ideas, and subscapularis maintenance are one of the ways designated. The e-book additionally provides margin convergence fix, period slides, matrix grafts, and biceps tendon issues. Chapters on mechanics and therapeutic, postoperative rehabilitation, and fending off issues entire the e-book. The step by step method of the textual content is supplemented by means of 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
S. Shaffer whose strength exceeds traditional braided suture material (but with handling capability similar to monoﬁlament) are available both preloaded on anchors and as “free” sutures for use during side-to-side repairs. Alternative “knotless” devices for cuff repair are available as well. 4. Suture Passing Devices. A wide selection of devices are available for suture passage through tendon. The simplest type is that which “penetrates” the tendon at the desired site and grasps a single limb of the anchor’s suture, retrieving it through the tendon as the instrument is withdrawn.
The rehabilitation protocol prescribed (and whether it is actually followed) may lead to poor results. Finally, the issues previously covered concerning the suture anchors (size, shape, material, and eyelet design) may be a source of failure. The surgeon must give each of these areas careful consideration and attention to achieve an ultimately successful outcome. Probably the most common source of rotator cuff tendon repair failure is the tendon itself. 13,29 There may be little that can be done to overcome this, but using knots that grasp the tendon more effectively and using multiple sutures that will distribute the holding forces across a larger area may be effective strategies to deal with this limitation.
Arthroscopic rotator cuff tear repair. J Surg Orthop Adv 2003;12:175–190. 7. Thomopoulos S, Williams GR, Soslowsky LJ. Tendon to bone healing: differences in biomechanical, structural, and compositional properties due to a range of activity levels. Biomech Eng 2003;125:106–113. 8. Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L. Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med 2005;33:1346–1355.
Arthroscopic Rotator Cuff Surgery: A Practical Approach to Management by Ken Yamaguchi MD, Robert Tashjian MD (auth.), Jeffrey S. Abrams MD, Robert H. Bell MD (eds.)