By William N. Levine, Theodore A. Blaine, Christopher S. Ahmad

A illustration of the abilities and services of major surgeons within the box, this reference serves as a step by step tutorial source on arthroscopic and minimally invasive surgical procedure of the shoulder and elbow. With full-color illustrations all through, every one bankruptcy specializes in particular options and should include ideas to reinforce restoration, lessen sufferer discomfort, and supply more desirable functionality over conventional surgeries

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Extra info for Minimally Invasive Shoulder and Elbow Surgery

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Early metallic anchors had edges on the eyelets that could fatigue and wear suture material. This led to suture breakage during the knot-tying process. Repetitive cycling the suture material through the eyelet was shown to weaken the suture material. This led to redesign of eyelets with smoother edges. The nonmetallic anchors (plastic and bio-absorbable) evolved with more suture friendly eyelets. Suture eyelet orientation is important to consider, depending upon what type of repair, and what type to stitch configuration is being used.

This can be frayed (Fig. 22) or inflamed. It can be quadrangular (48%), Y-shaped (42%), or composed of a single band (8%) (7). Anteriorly, the ligament is separated from the deltoid, but posteriorly, the ligament can merge with the deltoid fascia. Subacromial impingement is tested by bringing the arm into forward elevation and internal rotation. In this position, the rotator cuff will abut the CA ligament (Fig. 23). After the bursal tissue is cleared, the extra-articular portion of the rotator cuff can be visualized along with its insertion into the greater tuberosity.

This combination is designed to create a low profile suture after the PDS component has dissolved, while retaining strength from the outer sleeve of UHMWPE. Most of the new suture constructs are available in the traditional #2 size. Samples of common “super sutures” are compared in (Table 3) (15,16). Although the ultimate strength and composition of the new suture materials vary, it is important to remember that the mean load to failure for all the tested “super sutures” far exceed the presumed requirements for secure tendon to bone fixation.

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Minimally Invasive Shoulder and Elbow Surgery by William N. Levine, Theodore A. Blaine, Christopher S. Ahmad
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