By Stephen S. Burkhart MD, Ian K.Y. Lo MD FRCSC, Paul C. Brady MD
From a world-famous pioneer in arthroscopic shoulder surgical procedure comes the 1st step by step "how-to" consultant to complex options in shoulder arthroscopy. Dr. Burkhart describes the cutting edge recommendations and tools he has devised to resolve the main tricky surgical difficulties and gives dozens of suggestions, methods, and pearls you will not locate in the other e-book. greater than 900 full-color arthroscopic and medical images and various drawings supplement the text.
The first part explains the foundations that underlie winning operative shoulder arthroscopy. the second one part supplies step by step, bulleted directions and "tricks and information" for 70 arthroscopic procedures.
A bound-in DVD includes four hours of video displaying the 70 techniques. each one approach within the textual content correlates precisely to the video.
Read or Download Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy PDF
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Additional info for Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy
Sample text
A: Photo with needle in lower jaw. B: Photo with needle in upper jaw after activation. 40 41 Figure 2-40 Arthroscopic view through a posterior subacromial portal of a right shoulder, demonstrating use of the Needle Punch (Arthrex) suture-passing instrument. A: The needle is loaded into the lower jaw of the instrument and introduced into the lateral can-nula. B: The Needle Punch is used to grasp the tissue and the proposed suture placement is evaluated. C: The needle is then advanced through the tissue by squeezing the posterior grip.
More recently, other sutures have become available on the market including OrthoCord (DePuy Mitek; polydiaxanone and polyethylene), Herculine (Linvatec, ultra high molecular weight polyethylene), MaxBraid (Arthrotek; ultra high molecular weight polyethylene), UltraBraid (Smith & Nephew; polyethylene with and without a monofilament polypropylene marker), and ForceFiber (Stryker; ultra high molecular weight polyethylene). The last four suture types are essentially the same because they are all produced from Dyneema, a braided ultra high molecular weight polyethylene, which is highly oriented and highly crystalline.
3-22B). In addition, the same-direction half-hitch can be thrown, but the other suture limb is used as the post (this is called alternating the post or flipping the post) (Fig. 3-22C) or the half-hitch can be reversed and serve as an alternating post for the next throw (Fig. 3-22D). The more convoluted the weave of suture, the greater the internal interference and the greater the knot security. Thus, it is common to secure or lock any arthroscopic knot with a series of three RHAP (reversing half-hitches on alternating posts) (Fig.