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" advisor to complicated strategies in shoulder arthroscopy. Dr. Burkhart describes the cutting edge strategies and tools he has devised to unravel the main tough surgical difficulties and provides dozens of advice, methods, and pearls you will not locate in the other e-book. greater than 900 full-color arthroscopic and scientific pictures and various drawings supplement the text.
The first part explains the foundations that underlie profitable operative shoulder arthroscopy. the second one part supplies step by step, bulleted directions and "tricks and suggestions" for 70 arthroscopic procedures.
A bound-in DVD comprises four hours of video displaying the 70 systems. each one process within the textual content correlates precisely to the video.
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A illustration of the talents and services of major surgeons within the box, this reference serves as a step by step educational source on arthroscopic and minimally invasive surgical procedure of the shoulder and elbow. With full-color illustrations all through, every one bankruptcy makes a speciality of particular thoughts and should include suggestions to augment restoration, decrease sufferer discomfort, and supply more advantageous functionality over conventional surgeries
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Extra resources for Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy
Ideally, Î¸1 and Î¸2 should both be â ¤45Â°. 54 55 Figure 3-14 Schematic diagram representing a half-hitch with a post limb and wrapping limb. Figure 3-15 Schematic diagram representing a knot with a loop that would encircle tissue. Sliding knots can only be used when the suture slides easily through the anchoring device and tissue. These knots are preferred by some surgeons because the complete knot is tied extracoporeally and the knot can be slid down the post limb without unraveling or jamming prematurely, in most cases.
2-40B). The needle is then advanced through the tissues by squeezing the posterior grip (Fig. 2-40C). The needle self-locks into the upper jaw, the jaw is opened and the suture is retrieved through the cannula. Helpful Hint When using the Viper or the Needle Punch suture-passing instruments, it is helpful to pull the other limb of the suture to remove any slack in the system. This limits potential suture tangling during suture passage. Do not hold on to the suture or place too much tension into the system, however, because excess tension or pulling on the other limb can prevent the suture from actually passing through the tissue.
Furthermore, as Î¸2 decreases, so does the tension in the suture. A low Î¸2 angle, therefore, is also advantageous by protecting against suture breakage because it lowers the tension in the suture when compared with a high Î¸2 angle. Clinically, these theoretical findings suggest that suture anchors should be inserted at an angle toward the free margin of the rotator cuff and that the suture from the anchor should make an acute angle with the direction of pull of the rotator cuff. Figure 3-11 Loop circumference of three different types of arthroscopic knots tied with various #2 suture types.