Subscapularis Repair Prior to Subscapularis Takedown in Anatomic Shoulder Arthroplasty: Improving Anatomic Restoration and Mechanics of the Subscapularis

被引:0
作者
Lilley, Brendan M. [1 ]
Ruzbarsky, Joseph J. [2 ]
Eble, Stephanie K. [3 ]
Peebles, Annalise M. [4 ]
Zajac, Tyler J. [2 ]
Provencher, Matthew T. [2 ,4 ]
机构
[1] Frank H Netter MD Sch Med, North Haven, CT USA
[2] Steadman Clin, Vail, CO USA
[3] Dartmouth Coll, Geisel Sch Med, Hanover, NH USA
[4] Steadman Philippon Res Inst, Vail, CO USA
来源
ARTHROSCOPY TECHNIQUES | 2022年 / 11卷 / 03期
关键词
LESSER TUBEROSITY OSTEOTOMY; REPLACEMENT; PEEL;
D O I
10.1016/j.eats.2021.11.025
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Traditionally, total shoulder arthroplasty is performed using a deltopectoral approach through which the glenohumeral joint is accessed by mobilization of the subscapularis. Despite several variations on the subscapularis management techniques, postoperative complications, including subscapularis deficiency and lower functional outcomes, remain an area for improvement. The purpose of this Technical Note is to describe in detail our technique for management of the subscapularis in the setting of a stemless humeral implant through which the repair is planned and almost entirely performed at the beginning of the case, prior to the subscapularis peel. This technique aims to improve outcomes after total shoulder arthroplasty by 1) avoiding the anatomic implant with anchor drilling, 2) improving procedure efficiency, and 3) anatomically "repairing" the subscapularis prior to takedown by placing anchors exactly at the repair-tension site.
引用
收藏
页码:E321 / E326
页数:6
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