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E-grāmata: Video Atlas of Arthroscopic Rotator Cuff Repair

  • Formāts: 322 pages
  • Izdošanas datums: 16-Dec-2020
  • Izdevniecība: Thieme Medical Publishers Inc
  • Valoda: eng
  • ISBN-13: 9781638534884
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Video Atlas of Arthroscopic Rotator Cuff RepairPalielināt
  • Formāts: 322 pages
  • Izdošanas datums: 16-Dec-2020
  • Izdevniecība: Thieme Medical Publishers Inc
  • Valoda: eng
  • ISBN-13: 9781638534884
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Fundamentals in rotator cuff repair and reconstruction from world-renowned experts!

Rotator cuff disorders are the most common cause of shoulder pain, accounting for up to 70% of cases. Tears are the most severe subtype, with a lifetime prevalence rate of more than 20%. The size, location, and severity of rotator cuff tears varies greatly, requiring equally diverse preoperative planning and surgical interventions. Video Atlas of Arthroscopic Rotator Cuff Repair by Uma Srikumaran and esteemed contributors provides a concise, well-rounded perspective on the surgical management of rotator cuff pathologies.

Expert surgeons from across the globe describe and demonstrate numerous approaches, enabling clinicians to expand their armamentarium and achieve optimal outcomes. The opening chapters lay a solid foundation, covering basic techniques for arthroscopic repair of various rotator cuff tear patterns, patient positioning, portal placement, tips and tricks, complications, and pitfalls. Subsequent chapters succinctly discuss a comprehensive range of arthroscopic and transosseous techniques, biologic augmentation, grafting, tendon transfers, and superior capsular reconstruction.

Key Features

  • Easy-to-digest bulleted format and narrated step-by-step videos on diverse techniques
  • Discussion of different core procedures to manage rotator cuff tears, biceps tendon pathology, as well as failed primary surgeries
  • Videos on superior capsule reconstruction and lower trap tendon transfer narrated by the technique creators
  • Varied perspectives on the controversial topic of how to manage massive and irreparable tears

This is a must-have resource for orthopaedic surgery residents and fellows, especially shoulder and sports injury specialists.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Videos xix
Preface xxii
Contributors xxiii
1 Single-Row Rotator Cuff Repair Using Graft Augmentation And Bone Marrow Aspirate Concentrate Augmentation
1(5)
Anand Murthi
Manesha Lankachandra
1.1 Patient Positioning
1(1)
1.2 Portal Placement
1(1)
1.3 Surgical Technique
2(1)
1.4 Rehabilitation
3(1)
1.5 Rationale and Evidence for Approach
3(3)
2 Scoi Row Rotator Cuff Repair---A Medial Row, Tension-Free, Triple-Loaded, Crimson Duvet-Augmented Rotator Cuff Repair
6(8)
Eric Tannenbaum
John Taylor
Stephen Snyder
Michael Bahk
2.1 Patient Positioning
6(1)
2.2 Portal Placement
7(1)
2.2.1 Posterior Midglenoid Portal (PMGP)
7(1)
2.2.2 Anterior Midglenoid Portal (AMGP)
7(1)
2.2.3 Midlateral Subacromial Portal (MLSP)
8(1)
2.3 Surgical Technique
8(2)
2.4 Surgeon Tips and Tricks
10(1)
2.5 Pitfalls/Complications
11(1)
2.6 Rehabilitation
11(1)
2.7 Rationale and/or Evidence for Approach
12(2)
3 Single-Row Undersurface All-Inside Rotator Cuff Repair
14(9)
Ashleigh Elkins
George A.C. Murrell
3.1 Patients Selected for Surgery
14(1)
3.2 Patient Positioning
14(1)
3.3 Patient Preparation
14(1)
3.4 Posterior Portal Placement
14(1)
3.5 Initial Diagnostic Shoulder Arthroscopy
15(1)
3.6 Creation of the Lateral Portal
15(1)
3.7 Preparation of the Tendon and Landing Site
15(2)
3.8 Arthroscopic Suturing
17(1)
3.9 Preparing and Deploying Suture Anchors
17(1)
3.10 Closing
17(1)
3.11 Rehabilitation
18(1)
3.12 Six-Month Review
18(1)
3.13 Rationale for the Technique
18(2)
3.14 Advantages of the Technique
20(1)
3.15 Disadvantages
21(1)
3.16 Conclusion
21(2)
4 Double-Row Repair With Biceps Tendon Augmentation
23(7)
Jeffrey S. Abrams
Tertuliano Vieira
4.1 Examination under Anesthesia
23(1)
4.2 Positioning
23(1)
4.3 Portal Placement
23(1)
4.4 Surgical Technique
23(3)
4.5 Surgical Benefits
26(2)
4.6 Avoid Pitfalls and Complications
28(1)
4.7 Rehabilitation
28(1)
4.8 Rationale and Benefits
28(2)
5 Double Row With "Rip-Stop" Rotator Cuff Repair
30(6)
Mark R. Wilson
Eric D. Field
Larry D. Field
5.1 Patient Positioning
30(1)
5.2 Portal Placement
30(1)
5.3 Surgical Technique
30(3)
5.4 Surgeon Tips and Tricks
33(1)
5.5 Pitfalls/Complications
34(1)
5.6 Rehabilitation
35(1)
5.7 Rationale and/or Evidence for Approach
35(1)
6 Speedbridge Repair Of Massive Rotator Cuff Tears Using Provisional Traction Suture Reducing Anchor And Bioinductive Bovine Augment Patch
36(10)
Hithem Rahmi
Sevag Bastion
John Itamura
6.1 Positioning
36(1)
6.1.1 Lateral Decubitus Position
36(1)
6.2 Portal Placement
36(1)
6.2.1 Standard Portals
36(1)
6.3 Surgical Technique
37(5)
6.3.1 Initial Portal Placement
37(1)
6.3.2 Subacromial Access/Assessment
38(1)
6.3.3 Preparation of the Rotator Cuff Footprint
38(1)
6.3.4 Perform Soft Tissue Releases
38(1)
6.3.5 Traction Sutures
38(1)
6.3.6 Placement of Provisional Traction Suture Reducing Anchor
39(1)
6.3.7 Perform a Repair Using the SpeedBridge (Arthrex) with the Medial Seal Technique
40(2)
6.3.8 Placement of Bioinductive Bovine Augment Patch
42(1)
6.4 Surgeon Tips and Tricks
42(2)
6.4.1 Visualization
42(1)
6.4.2 Traction Stitch
43(1)
6.4.3 Medial Seal
43(1)
6.4.4 SpeedBridge Preparation
43(1)
6.4.5 Dog-Ear
44(1)
6.4.6 Patch Augment
44(1)
6.5 Pitfalls/Complications
44(1)
6.5.1 Medial Seal Failure
44(1)
6.5.2 Failure of Repair
44(1)
6.6 Rehabilitation
44(1)
6.7 Rationale and/or Evidence for Approach
45(1)
7 Two-Anchor, Double-Row Rotator Cuff Repair With Incorporated Biceps Tenodesis
46(7)
Michael J. O'Brien
Felix H. Sarnie
7.1 Patient Positioning
46(1)
7.2 Portal Placement
46(1)
7.3 Surgical Technique (Step-by-Step Approach)
47(3)
7.3.1 Posterior Viewing Portal
47(1)
7.3.2 Lateral Viewing Portal
47(1)
7.3.3 Repair
48(2)
7.4 Surgeon Tips and Tricks (Use of Specific Instrumentation)
50(1)
7.5 Pitfalls/Complications
51(1)
7.6 Rehabilitation
51(1)
7.7 Rationale and/or Evidence for Approach
51(2)
8 Arthroscopic Transosseous Equivalent Rotator Cuff Repair: Key Points Of Surgical Technique
53(5)
Thomas "Quin" Throckmorton
8.1 Operative Technique: Patient positioning
53(1)
8.2 Portal Placement
54(1)
8.3 Surgical Technique
54(2)
8.4 Surgeon Tips and Tricks
56(1)
8.5 Pitfalls and Complications
56(1)
8.6 Rehabilitation
56(1)
8.7 Literature Review
57(1)
9 Arthroscopic Double-Row Transosseous Equivalent Repair Of Large Rotator Cuff Tears
58(5)
Ajay S. Padaki
Daniel J. Song
Pinkawas Kongmalai
William N. Levine
9.1 Patient Positioning
58(1)
9.1.1 Standard Supine Beach Chair Positioning
58(1)
9.2 Portal Placement
58(1)
9.2.1 Posterior
58(1)
9.2.2 Anterior
59(1)
9.2.3 Lateral
59(1)
9.3 Surgical Technique (Step-by-Step Approach)
59(1)
9.3.1 Diagnostic Arthroscopy from the Posterior Portal
59(1)
9.3.2 Subacromial Space
59(1)
9.4 Surgeon Tips and Tricks (Use of Specific Instrumentation)
60(1)
9.5 Pitfalls/Complications
60(1)
9.6 Rehabilitation
61(1)
9.7 Rationale and/or Evidence for Approach
61(2)
9.7.1 Repair Technique
61(1)
9.7.2 Postoperative Therapy
61(2)
10 Arthroscopic Rotator Cuff Repair Using A Suture-Bridge Technique And Associated Open Subpectoral Biceps Tenodesis
63(13)
Catherine M. Rapp
Alexander Vara
Brett P. Water
J. Michael Wiater
10.1 Patient Positioning
63(2)
10.2 Portal and Incision Placement
65(1)
10.3 Surgical Technique Step-by-Step
66(5)
10.4 Surgeon Tips and Tricks
71(1)
10.5 Pitfalls/Complications
72(1)
10.6 Rehabilitation
72(1)
10.7 Rationale
73(3)
11 Transosseous Repair
76(6)
J. Gabriel Horneff
Mark D. Lazarus
11.1 Patient Positioning
76(1)
11.2 Portal Placement
76(1)
11.3 Surgical Technique (Step-by-Step Approach)
77(2)
11.4 Surgeon Tips and Tricks
79(1)
11.5 Pitfalls/Complications
80(1)
11.6 Rehabilitation
80(1)
11.7 Rationale and/or Evidence for Approach
80(2)
12 True Transosseous Hybrid Rotator Cuff Repair
82(6)
Brett Sanders
12.1 Patient Positioning
82(1)
12.2 Portal Placement
82(1)
12.3 Surgical Technique (Hybrid Cuff Repair)
83(1)
12.4 Surgeon Tips and Tricks (Use of Specific Instrumentation)
84(1)
12.5 Pitfalls/Complications
85(1)
12.6 Rationale and/or Evidence for Approach
85(3)
13 All-Arthroscopic Anchorless Transosseous Rotator Cuff Repair
88(2)
Aydin Budeyri
Raffaele Garofalo
Sumant "Butch" Krishnan
13.1 Case and Scope
88(2)
14 Fully Arthroscopic Transosseous Rotator Cuff Repair: A Reverse-Guided Technique
90(6)
Jean Kany
14.1 Patient Positioning and Portals
90(1)
14.2 Surgical Technique
91(2)
14.2.1 Debride and Prepare the Foot-print
91(1)
14.2.2 Deploy the Instrument
92(1)
14.3 Surgeon Tips and Tricks
93(1)
14.4 Pitfalls/Complications
93(1)
14.4.1 Rehabilitation
93(1)
14.4.2 Rationale and/or Evidence for Approach
93(1)
14.5 Conclusion
94(2)
15 Double-Row Subscapularis Repair For Full-Thickness Subscapularis Tears
96(13)
Grant Garcia
Hailey Casebolt
Anthony Romeo
15.1 Patient Positioning
96(1)
15.2 Portal Placement
97(1)
15.2.1 Portal Placement Technique
98(1)
15.3 Surgical Technique (Step-by-Step Approach)
98(1)
153.1 Steps
98(7)
15.3.2 Tips
101(1)
15.3.3 Inferior Medial Anchor Placement
101(1)
15.3.4 Superior Medial Suture Placement
102(3)
15.4 Surgeon Tips and Tricks
105(1)
15.4.1 Tips
105(1)
15.4.2 Instruments
105(1)
15.4.3 Knots
106(1)
15.5 Pitfalls/Complications
106(1)
15.6 Rehabilitation
106(1)
15.7 Rationale and/or Evidence for Approach
106(2)
15.8 Conclusion
108(1)
16 Arthroscopic Single-Row Subscapularis Tendon Repair
109(5)
Howard D. Routman
Jack E. Kazanjian
16.1 Patient Positioning
109(1)
16.2 Surgical Technique
109(3)
16.3 Surgeon Tips and Tricks
112(1)
16.4 Post-Op Rehabilitation
112(1)
16.5 Rationale and Evidence
112(2)
17 Arthroscopic Single Row Subscapularis Repair
114(32)
Michael Bender
Hussein Elkousy
17.1 Patient Positioning
114(1)
17.2 Portal Placement
115(2)
17.3 Surgical Technique
117(3)
17.3.1 Diagnostic Arthroscopy
117(3)
173.2 Subacromial Assessment and Decompression
120(2)
173.3 Biceps Management
122(3)
173.4 Anterior Bursectomy and Tear Mobilization
125(7)
17.3.5 Tuberosity Preparation and Anchor Placement
127(2)
17.3.6 Suture Passage and Tendon Repair
129(3)
17.4 Surgeon Tips and Tricks
132(7)
17.5 Pitfalls and Complications
139(5)
17.5.1 Missed Tears
139(1)
17.5.2 Complete and Retracted Tears
140(2)
17.5.3 Re-Tear
142(1)
17.5.4 Infection
143(1)
17.6 Rehabilitation
144(1)
17.7 Rationale and Evidence for Approach
144(2)
18 Arthroscopic Repair Of Subscapularis Tear Based On The Tear Types
146(5)
Chris Hyunchul Jo
Jeong Yang Yoon
18.1 Patient Positioning
146(1)
18.2 Portal Placement
146(1)
18.3 Surgical Technique (Step-by-Step Approach)
147(2)
18.3.1 Partial Tear in the Leading Edge
147(1)
18.3.2 Articular-Sided Tear
147(1)
18.3.3 Concealed Bursal-Sided Tear
147(1)
18.3.4 Subscapularis Tendon Tear with Supraspinatus Tendon Tear
147(1)
18.3.5 Isolated Subscapularis Tendon Tear
148(1)
18.3.6 Biological Augmentation with Platelet-Rich Plasma (PRP) and Multiple Channeling
148(1)
18.4 Surgeon Tips and Tricks (Use of Specific Instrumentation)
149(1)
18.5 Pitfalls/Complications
149(1)
18.6 Rehabilitation
149(2)
19 Arthroscopic Transtendon Double-Row Subscapularis Repair With All Suture Medial Row Anchors
151(5)
Robert A. Duerr
Tyler J. Hunt
Laurence D. Higgins
19.1 Patient Positioning
151(1)
19.2 Portal Placement
151(1)
19.3 Surgical Technique (Step-by-Step Approach)
151(1)
19.4 Surgeon Tips and Tricks (Use of Specific instrumentation)
152(1)
19.5 Pitfalls and Complications
153(1)
19.6 Rehabilitation
153(1)
19.7 Rationale and Evidence for Approach
154(2)
20 Four-Anchor Repair Of Massive Subscapularis Tear With Subcoracoid Decompression
156(7)
Colin P. Murphy
Colin M. Robbins
Connor C. Ziegler
Anthony Sanchez
Matthew T. Provencher
20.1 Patient Positioning
156(1)
20.2 Portal Placement
156(1)
20.3 Surgical Technique
156(3)
20.4 Surgeon Tips and Tricks
159(1)
20.5 Pitfalls/Complications
160(1)
20.6 Rehabilitation
160(2)
20.7 Rationale and/or Evidence for Approach
162(1)
21 Superior Capsular Reconstruction With Fascia Lata Autograft
163(11)
Teruhisa Mihata
21.1 Patient Positioning
163(1)
21.2 Portal Placement
163(1)
21.3 Surgical Technique
163(6)
21.3.1 Measurement of Defect Size
163(1)
21.3.2 Deciding on Graft Size
164(1)
21.3.3 Harvesting the Fascia Lata and Making the Autograft
165(1)
21.3.4 Treatment of Associated Lesions
165(1)
21.3.5 Acromioplasty
165(1)
21.3.6 Anchor Placement on the Superior Glenoid
165(2)
21.3.7 Anchor Placement on the Medial Footprint
167(1)
21.3.8 Insertion of Fascia Lata into the Subacromial Space
167(1)
21.3.9 Attachment to the Greater Tuberosity
168(1)
21.3.10 Side-to-Side Suturing between the Graft and the Infraspinatus Tendon or Teres Minor
169(1)
21.4 Surgeon Tips and Tricks
169(1)
21.5 Pitfalls/Complications
170(1)
21.6 Rehabilitation
170(1)
21.7 Rationale and Evidence for Fascia Lata SCR
170(4)
22 Superior Capsular Reconstruction With Allograft
174(4)
David M. Dines
Michael C. Fu
Joshua S. Dines
22.1 Patient Positioning
174(1)
22.2 Portal Placement
174(1)
22.3 Surgical Technique
174(2)
22.4 Surgeon Tips and Tricks
176(1)
22.5 Pitfalls/Complications
176(1)
22.6 Rehabilitation
176(1)
22.7 Rationale and/or Evidence for Approach
177(1)
23 Superior Capsular Reconstruction With Porcine Xenograft
178(10)
Ruth A. Delaney
Daniel B.L. Garcia
23.1 Patient Positioning
178(1)
23.2 Portal Placement
178(1)
23.3 Surgical Technique
178(6)
23.3.1 Key Steps
179(4)
23.3.2 Tips and Tricks
183(1)
23.4 Pitfalls, Complications
184(1)
23.5 Rehabilitation
185(1)
23.5.1 Phase 1
185(1)
23.5.2 Phase 2
186(1)
23.5.3 Phase 3
186(1)
23.5.4 Phase 4
186(1)
23.6 Rationale and Evidence
186(2)
23.6.1 Outcomes-Unpublished Data
186(1)
23.6.2 SCR Data
187(1)
23.6.3 DX Matrix Graft
187(1)
23.6.4 Evidence Supporting our Rehabilitation Protocol
187(1)
24 All-Arthroscopic Superior Capsular Reconstruction With Dermal Allograft
188(5)
Sriram Sankaranarayanan
Frances Cuomo
Konrad I. Gruson
24.1 Patient Positioning
188(1)
24.2 Portal Placement
188(1)
24.3 Surgical Technique
188(2)
24.4 Surgeon Tips and Tricks
190(1)
24.5 Rehabilitation
190(1)
24.6 Rationale and Evidence for Approach
190(3)
25 Subpectoral Biceps Tenodesis
193(5)
Jacob M. Kirsch
Michael T. Freehill
25.1 Patient Positioning and Planning the Surgical Approach
193(1)
25.2 Surgical Technique
193(2)
25.2.1 Surgical Exposure
193(1)
25.2.2 Placing the Suture Anchor
194(1)
25.2.3 Arthroscopic Portal Placement
194(1)
25.2.4 Initiate Shoulder Arthroscopy
194(1)
25.2.5 Completing the Tenodesis
194(1)
25.2.6 Wound Closure
195(1)
25.3 Tips and Tricks
195(1)
25.4 Pitfalls and Complications
195(1)
25.5 Rehabilitation
196(1)
25.6 Rationale for Approach
196(2)
26 Identifying And Exposing The Proximal Biceps In Its Groove: The "Slit" Technique
198(7)
Mark R. Wilson
Eric D. Field
Larry D. Field
26.1 Patient Positioning
198(1)
26.2 Portal Placement
198(1)
26.3 Surgical Technique
198(4)
26.4 Surgeon Tips and Tricks
202(1)
26.5 Pitfalls/Complications
203(1)
26.6 Rehabilitation
203(1)
26.7 Rationale and/or Evidence for Approach
204(1)
27 Arthroscopic Suprapectoral Biceps Tenodesis With Lasso Loop
205(2)
Kyle A. Borque
Jon J.P. Warner
27.1 Patient Positioning
205(1)
27.2 Portal Placement
205(1)
27.3 Surgical Technique (step-by-step approach)
205(1)
27.4 Surgeon Tips and Tricks
206(1)
27.5 Pitfalls/Complications
206(1)
27.6 Rehabilitation
206(1)
27.7 For the Rationale and/or Evidence for the Approach
206(1)
28 Transosseous Arthroscopic Biceps Tenodesis
207(3)
Brett Sanders
28.1 Patient Positioning
207(1)
28.2 Portal Placement
207(1)
28.3 Surgical Technique
207(1)
28.4 Tips and Tricks
208(1)
28.5 Pearls and Pitfalls
208(1)
28.6 Rehabilitation
208(1)
28.7 Rationale
208(2)
29 Revision Rotator Cuff Repair And Techniques For Mobilization
210(7)
Joseph N. Liu
Anirudh K. Gowd
Brandon C. Cabarcas
Grant H. Garcia
Nikhil N. Verma
29.1 Patient Positioning
210(1)
29.2 Portal Placement
210(1)
29.3 Surgical Technique (Step-by-Step Approach)
210(3)
29.4 Surgeon Tips and Tricks (Use of Specific Instrumentation)
213(1)
29.5 Pitfalls/Complications
213(1)
29.6 Rehabilitation
214(1)
29.7 Rationale and/or Evidence for Approach
214(3)
30 Arthroscopic Transosseous Revision Rotator Cuff Repair
217(7)
Jeremy Smalley
Uma Srikumaran
30.1 Patient Positioning
217(1)
30.2 Portal Placement
217(1)
30.3 Surgical Technique
218(3)
30.3.1 Diagnostic Arthroscopy
218(1)
30.3.2 Bursectomy, Debridement, Removal of Loose Implants, Footprint Preparation, Cuff Mobilization (if Needed)
218(1)
30.3.3 Tunneling and Suture Shuttling
219(1)
30.3.4 Suture Passage Through the Cuff
219(2)
30.3.5 Suture Tying
221(1)
30.4 Surgeon Tips and Tricks
221(1)
30.5 Pitfalls/Complications
222(1)
30.6 Rehabilitation
222(1)
30.7 Rationale and Evidence of Approach
222(2)
31 Biological Augmentation Of Rotator Cuff Repair With Platelet-Rich Plasma And Multiple Channeling
224(5)
Paul Shinil Kim
Chris Hyunchul Jo
31.1 Patient Positioning
224(1)
31.2 Portal Placement
224(1)
31.2.1 Posterior Portal
224(1)
31.2.2 Anterior Portal
224(1)
31.2.3 Lateral Portal (50-Yard Line View)
224(1)
31.2.4 Posterolateral Portal (Grand Canyon View)
224(1)
31.3 Surgical Technique (Step-by-Step Approach)
225(1)
31.3.1 Exploration for the Glenohumeral Joint
225(1)
31.3.2 Management of the Biceps Tendon
225(1)
31.3.3 Preparation for the Tendon Repair
225(1)
31.3.4 Arthroscopic Repair
226(1)
31.4 Surgeon Tips and Tricks (Use of Specific Instrumentation)
226(1)
31.4.1 Platelet-Rich Plasma Augmentation
226(1)
31.4.2 Multiple Channeling
226(1)
31.5 Pitfalls/Complications
227(1)
31.6 Rehabilitation
227(2)
32 Load-Sharing Rip-Stop And Knotless Rip-Stop Repairs For Massive Rotator Cuff Tears
229(6)
Matthew P. Noyes
Patrick J. Denard
32.1 Patient Positioning
229(1)
32.2 Portal Placement
229(1)
32.2.1 Posterior Portal
229(1)
32.2.2 Anterosuperolateral Portal
229(1)
32.2.3 Lateral Portal
230(1)
32.2.4 Percutaneous Portals
230(1)
32.3 Surgical Technique
230(3)
32.3.1 Load-Sharing Rip-Stop
230(2)
32.3.2 Knotless Rip-Stop
232(1)
32.4 Tips and Tricks
233(1)
32.5 Complications
233(1)
32.6 Rehabilitation
234(1)
32.7 Literature
234(1)
33 Arthroscopically Assisted Lower Trapezius Transfer For Irreparable: Posterosuperior Rotator Cuff Tears
235(8)
Joaquin Sanchez-Sotelo
Bassem T. Elhassan
33.1 Introduction
235(1)
33.2 Patient Positioning
236(1)
33.3 Portal Placement
236(1)
33.4 Surgical Technique
237(1)
33.4.1 Partial Cuff Repair and Biceps Tenotomy/Tenodesis if indicated
237(1)
33.4.2 Achilles Tendon Allograft Preparation
237(1)
33.5 Lower Trapezius Tendon Harvesting and Mobilization
237(1)
33.6 Allograft Passage and Fixation to the Greater Tuberosity
238(1)
33.6.1 Trapezius to Allograft Repair
239(1)
33.7 Tips and Tricks
239(1)
33.8 Pitfalls and Complications
240(1)
33.9 Rehabilitation
241(1)
33.10 Rationale and Evidence
241(1)
33.11 Conclusion
242(1)
34 Subacromial Balloon Spacer For Irreparable Cuff Tears
243(5)
J. Gabriel Hornefflll
Joseph A. Abboud
34.1 Patient Positioning
243(1)
34.2 Portal Placement
243(1)
34.3 Surgical Technique (Step-by-Step Approach)
243(2)
34.4 Surgeon Tips and Tricks
245(1)
34.5 Pitfalls/Complications
245(1)
34.6 Rehabilitation
246(1)
34.7 Rationale and/or Evidence for Approach
246(2)
35 Acellular Human Dermal Allograft Rotator Cuff Reconstruction
248(10)
Michael Bahk
Stephen Snyder
J. Ryan Taylor
35.1 Patient Positioning
248(1)
35.2 Portal Placement
248(1)
35.3 Surgical Technique
248(2)
35.3.1 Preoperative Preparation (Back Table)
248(1)
35.3.2 Shoulder Arthroscopic Evaluation, Debridement, Decompression, and Preparation
248(1)
35.3.3 Placement of First Suture Anchor
249(1)
35.3.4 Placement of Second Anchor and Performing the Biceps Tenodesis Using the ThRevo "Italian Loop" Method
250(1)
353.5 Measuring the Defect in the Rotator Cuff
250(1)
353.6 Preparation of the Graft (Back Table)
250(1)
353.7 Attachment of the Graft to the Posteromedial Cuff
251(1)
353.8 Alternative Method-Direct Suture Passing
251(1)
353.9 Attachment of the Graft to the Anterior Cuff and Biceps Tendon
252(1)
353.10 Deliver the Graft into the Shoulder Joint
252(1)
353.11 Tying of the Remaining Sutures from the Anchors
253(1)
35.3.12 Suturing the Lateral Graft to Bone
253(1)
35.3.13 Insert Third/Fourth Anchors
253(1)
35.3.14 Tying the Anchored Sutures
253(1)
35.3.15 Evaluate the Repair
253(1)
35.4 Surgeon Tips and Tricks
253(1)
35.5 Pitfalls/Complications
254(1)
35.6 Postoperative Care
255(1)
35.7 Rationale and/or Evidence for Approach
255(3)
35.7.1 Methods
255(1)
35.7.2 Results
255(1)
35.7.3 Conclusion
256(2)
36 A Comparison Of The Outcomes Of Two Types Of Synthetic Patches For Interpositional Graft Use In Irreparable Rotator Cuff Tears
258(13)
Tom Morrison
Patrick H. Lam
George A.C. Murrell
36.1 Introduction
258(1)
36.2 Methods
259(2)
36.2.1 Study Design
259(1)
36.2.2 Surgical Procedures
259(2)
36.2.3 Patient-Ranked Outcomes
261(1)
36.2.4 Examiner-Ranked Outcomes
261(1)
36.2.5 Statistical Analysis
261(1)
36.3 Results
261(7)
36.3.1 Matching for Tear Size between Patch Groups
261(1)
36.3.2 Direct-Repair Comparison Group
261(1)
36.3.3 Matching for Tear Size between Patch Groups and Direct-Repair Groups
262(1)
36.3.4 Demographics
262(1)
36.3.5 Intraoperative data
263(1)
36.3.6 Patient-Ranked Outcomes
264(1)
36.3.7 Strength
265(3)
36.4 Discussion
268(1)
36.5 Conclusion
269(2)
37 Dermal Augmentation For Challenging Large And Massive Rotator Cuff Tears
271(16)
Devon T. Brameier
Paul M. Sethi
37.1 Patient Positioning
271(1)
37.2 Portal Placement
271(1)
37.3 Surgical Technique
271(1)
37.4 Surgeon Tips and Tricks
272(5)
37.5 Pitfalls/Complications
277(1)
37.6 Rehabilitation
278(1)
37.7 Rationale and/or Evidence for Approach
278(9)
37.7.1 Biological Healing Rationale
280(1)
37.7.2 Mechanical Support Rationale
280(1)
37.7.3 Indications for Dermal Augmentation of Rotator Cuff Repairs
280(1)
37.7.4 Clinical Evidence for the Use of Dermal Augmentation in Rotator Cuff Repair
281(6)
38 Case Discussions On Surgical Decision Making For Massive Rotator Cuff Tears: Repair, Reconstruction, Or Reverse Shoulder Replacement?
287(2)
Mark Frankle
Mark Mighell
Index 289
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