Home Management • Jeffrey S. Abrams, Robert H. Bell's Arthroscopic Rotator Cuff Surgery: A Practical Approach to PDF

Jeffrey S. Abrams, Robert H. Bell's Arthroscopic Rotator Cuff Surgery: A Practical Approach to PDF

By Jeffrey S. Abrams, Robert H. Bell

This textual content takes a finished method of rotator cuff issues, together with tears and arthroscopic options in surgical administration. It addresses the newest issues that experience built some time past a number of years, equivalent to the conversion of mini-open fix to all arthroscopic fix, and solutions key questions which are raised at tutorial classes. specialists within the box current not just arthroscopic shoulder anatomy, cuff tear styles, fix ideas, and different basics, but in addition offer in-depth assurance of cutting-edge strategies. Acromioplasty, clavicle resection, PASTA fix, huge and large fix thoughts, and subscapularis upkeep are one of the strategies specified. The thorough publication additionally considers repairable as opposed to irreparable cuff tears, biceps tendon issues (tenotomy, tenodesis, and subpectoral tenodesis), and tuberosity footprints (medial, lateral, and double row). Suture anchor fix, suture go ideas, knot tying, and postoperative therapy are addressed besides. The step by step strategy is supplemented through a wealth of anatomical drawings and colour images of arthroscopic thoughts. An accompanying DVD vitamins the surgical suggestions chapters.

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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. The lateral decubitus method eliminates the need for an assistant or mechanical device to support the arm. Internal and external rotation of the suspended arm affords acceptable access to the entire rotator cuff. While the surgeon is working in the glenohumeral joint, the glenoid is typically oriented parallel with the floor.

An anchor must accomplish the following: (1) fix the suture to the bone; (2) not pull out of that bone; (3) permit an easy surgical technique; and (4) not cause long-term problems. A. Barber Although anchors do have many advantages, they also have disadvantages: (1) anchors require special instruments that are specific for each anchor; (2) the use of anchors increases procedure cost; (3) there is a learning curve to master in using suture anchors; and (4) a foreign material is left behind that may complicate additional surgery.

The choice is largely determined by the position used when the surgeon was learning shoulder arthroscopy, the ease and anticipated frequency of converting to a mini-open procedure, and the availability of surgical assistants and supportive devices for arm positioning. Benefits and compromises exist for each option. 1. Lateral Decubitus Orientation The supine position is used during the induction of general anesthesia. The patient is then repositioned to the lateral decubitus orientation on a vacuum bag.

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