Revision Arthroscopic Greater Tuberosity Fracture Fixation and Implant Removal: An Open to Arthroscopic Approach
Failure of a greater tuberosity fracture fixation with screws can lead to stiffness, pain, and weakness of the rotator cuff. Management of a previously performed open greater tuberosity fracture fixation with screws involves implant removal and refixation of the fragment. Doing this arthroscopically...
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Published in | Arthroscopy techniques (Amsterdam) Vol. 10; no. 3; pp. e831 - e839 |
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Main Author | |
Format | Journal Article |
Language | English |
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Netherlands
Elsevier Inc
01.03.2021
Elsevier |
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Abstract | Failure of a greater tuberosity fracture fixation with screws can lead to stiffness, pain, and weakness of the rotator cuff. Management of a previously performed open greater tuberosity fracture fixation with screws involves implant removal and refixation of the fragment. Doing this arthroscopically in a previously performed open surgery has its own challenges but distinct advantages. Describe herein is a technique for performing this revision surgery arthroscopically.
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AbstractList | Failure of a greater tuberosity fracture fixation with screws can lead to stiffness, pain, and weakness of the rotator cuff. Management of a previously performed open greater tuberosity fracture fixation with screws involves implant removal and refixation of the fragment. Doing this arthroscopically in a previously performed open surgery has its own challenges but distinct advantages. Describe herein is a technique for performing this revision surgery arthroscopically.
Video 1
Arthroscopic screw and washer removal and GT fixation using portals with the patient in a beach chair position. (GT, greater tuberosity.) Failure of a greater tuberosity fracture fixation with screws can lead to stiffness, pain, and weakness of the rotator cuff. Management of a previously performed open greater tuberosity fracture fixation with screws involves implant removal and refixation of the fragment. Doing this arthroscopically in a previously performed open surgery has its own challenges but distinct advantages. Describe herein is a technique for performing this revision surgery arthroscopically. Failure of a greater tuberosity fracture fixation with screws can lead to stiffness, pain, and weakness of the rotator cuff. Management of a previously performed open greater tuberosity fracture fixation with screws involves implant removal and refixation of the fragment. Doing this arthroscopically in a previously performed open surgery has its own challenges but distinct advantages. Describe herein is a technique for performing this revision surgery arthroscopically. [Display omitted] |
Author | Mhaskar, Vikram Arun |
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References | Gerber (bib2) 1990; 19 Kim, Noh, Lee (bib4) 2019; 8 Robinson, Shur, Sharpe (bib1) 2012; 94 Lu, Jiang, Zhu, Wang, Bowles, Mauffrey (bib6) 2014; 24 Choi, Son, Hyun, Bae, Kang (bib3) 2018; 84 Liao, Zhang, Li, Li (bib5) 2016; 474 Choi (10.1016/j.eats.2020.10.073_bib3) 2018; 84 Kim (10.1016/j.eats.2020.10.073_bib4) 2019; 8 Lu (10.1016/j.eats.2020.10.073_bib6) 2014; 24 Gerber (10.1016/j.eats.2020.10.073_bib2) 1990; 19 Liao (10.1016/j.eats.2020.10.073_bib5) 2016; 474 Robinson (10.1016/j.eats.2020.10.073_bib1) 2012; 94 |
References_xml | – volume: 24 start-page: 715 year: 2014 end-page: 721 ident: bib6 article-title: Delayed ORIF of proximal humerus fractures at a minimum of 3 weeks from injury: A functional outcome study publication-title: Eur J Orthop Surg Traumatol contributor: fullname: Mauffrey – volume: 8 start-page: e975 year: 2019 end-page: e985 ident: bib4 article-title: Arthroscopic reduction and suture bridge fixation of a large displaced greater tuberosity fracture of the humerus publication-title: Arthrosc Tech contributor: fullname: Lee – volume: 84 start-page: 47 year: 2018 end-page: 53 ident: bib3 article-title: Arthroscopic treatment of greater tuberosity fractures: Retrospective review of clinical and radiological outcomes publication-title: Acta Orthop Belg contributor: fullname: Kang – volume: 474 start-page: 1269 year: 2016 end-page: 1279 ident: bib5 article-title: Is arthroscopic technique superior to open reduction internal fixation in the treatment of isolated displaced greater tuberosity fractures? publication-title: Clin Orthop Rel Res contributor: fullname: Li – volume: 19 start-page: 316 year: 1990 end-page: 323 ident: bib2 article-title: Reconstructive surgery following malunion of fractures of the proximal humerus in adults publication-title: Orthopade contributor: fullname: Gerber – volume: 94 start-page: 18 year: 2012 end-page: 26 ident: bib1 article-title: Injuries associated with traumatic anterior glenohumeral dislocations publication-title: J Bone Joint Surg Am contributor: fullname: Sharpe – volume: 8 start-page: e975 year: 2019 ident: 10.1016/j.eats.2020.10.073_bib4 article-title: Arthroscopic reduction and suture bridge fixation of a large displaced greater tuberosity fracture of the humerus publication-title: Arthrosc Tech doi: 10.1016/j.eats.2019.05.007 contributor: fullname: Kim – volume: 94 start-page: 18 year: 2012 ident: 10.1016/j.eats.2020.10.073_bib1 article-title: Injuries associated with traumatic anterior glenohumeral dislocations publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.J.01795 contributor: fullname: Robinson – volume: 24 start-page: 715 year: 2014 ident: 10.1016/j.eats.2020.10.073_bib6 article-title: Delayed ORIF of proximal humerus fractures at a minimum of 3 weeks from injury: A functional outcome study publication-title: Eur J Orthop Surg Traumatol doi: 10.1007/s00590-013-1255-5 contributor: fullname: Lu – volume: 19 start-page: 316 year: 1990 ident: 10.1016/j.eats.2020.10.073_bib2 article-title: Reconstructive surgery following malunion of fractures of the proximal humerus in adults publication-title: Orthopade contributor: fullname: Gerber – volume: 84 start-page: 47 year: 2018 ident: 10.1016/j.eats.2020.10.073_bib3 article-title: Arthroscopic treatment of greater tuberosity fractures: Retrospective review of clinical and radiological outcomes publication-title: Acta Orthop Belg contributor: fullname: Choi – volume: 474 start-page: 1269 year: 2016 ident: 10.1016/j.eats.2020.10.073_bib5 article-title: Is arthroscopic technique superior to open reduction internal fixation in the treatment of isolated displaced greater tuberosity fractures? publication-title: Clin Orthop Rel Res doi: 10.1007/s11999-015-4663-5 contributor: fullname: Liao |
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Title | Revision Arthroscopic Greater Tuberosity Fracture Fixation and Implant Removal: An Open to Arthroscopic Approach |
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