| Autor: |
Lilley BM; Frank H. Netter M.D. School of Medicine, North Haven, Connecticut, U.S.A., Ruzbarsky JJ; The Steadman Clinic, Vail, Colorado, U.S.A., Eble SK; Geisel School of Medicine at Dartmouth College, Hanover, Massachusetts, U.S.A., Peebles AM; The Steadman Philippon Research Institute, Vail, Colorado, U.S.A., Zajac TJ; The Steadman Clinic, Vail, Colorado, U.S.A., Provencher MT; The Steadman Clinic, Vail, Colorado, U.S.A.; The Steadman Philippon Research Institute, Vail, Colorado, U.S.A. |
| Abstrakt: |
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. |
