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 complex strategies in shoulder arthroscopy. Dr. Burkhart describes the cutting edge ideas and tools he has devised to resolve the main tough surgical difficulties and gives dozens of tips, methods, and pearls you will not locate in the other e-book. greater than 900 full-color arthroscopic and medical pictures and diverse drawings supplement the text.
The first part explains the rules that underlie profitable operative shoulder arthroscopy. the second one part offers step by step, bulleted directions and "tricks and assistance" for 70 arthroscopic procedures.
A bound-in DVD comprises four hours of video displaying the 70 tactics. each one technique within the textual content correlates precisely to the video.
Read Online or Download Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy PDF
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Extra resources for Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy
Under dry and wet conditions. Note: Lines denote significant differences between groups. Anchor Insertion Maximizing Pullout: The Deadman Analogy A suture anchor should be inserted into bone at the optimal angle to maximize its pull-out strength. Suture anchors used for shoulder reconstruction function in the same way that a â deadmanâ functions to 51 52 support a corner fence post on a South Texas ranch (16). A deadman is a large rock that is buried approximately 3 feet under the ground. 39 corner fence post as a guywire.
Intuitively, the more acute the angle Î¸1, the more difficult it will be to pull out the anchor. 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.
These are outlined below. Bone Tunnels versus Suture Anchors Traditional open surgical management of rotator cuff or Bankart repairs have relied on transosseous tunnels for secure soft tissue fixation to bone. Although historically this method has provided adequate fixation during open repairs, more recent studies suggest that failure through bone tunnels can occur, particular during rotator cuff repair. Mechanical studies by Burkhart et al. (1,2) demonstrated that, under cyclic loads, transosseous rotator cuff repair constructs failed at low cycles by cutting of the suture through bone.
Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy by Stephen S. Burkhart MD, Ian K.Y. Lo MD FRCSC, Paul C. Brady MD