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" consultant to complex suggestions in shoulder arthroscopy. Dr. Burkhart describes the leading edge innovations and tools he has devised to unravel the main tough surgical difficulties and gives dozens of information, tips, and pearls you will not locate in the other booklet. greater than 900 full-color arthroscopic and scientific images and various 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 information" for 70 arthroscopic procedures.
A bound-in DVD comprises four hours of video exhibiting the 70 approaches. every one process 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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From a world-famous pioneer in arthroscopic shoulder surgical procedure comes the 1st step by step "how-to" consultant to complicated concepts in shoulder arthroscopy. Dr. Burkhart describes the leading edge strategies and tools he has devised to resolve the main tricky surgical difficulties and provides dozens of information, tips, and pearls you will not locate in the other booklet.
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Additional info for Burkhart’s View of the Shoulder: A Cowboy’s Guide to Advanced Shoulder Arthroscopy
E: A large loop of suture has now been passed, and the open-ended upper jaw of the instrument can be used to retrieve the suture. suture in the lower jaw, pushing the suture through the tissue and through the profile of the upper jaw. A ratcheting maneuver of the posterior grip will push a progressively larger loop through. ; Naples, FL) activation. A: Photo with needle in lower jaw. B: Photo with needle in upper jaw after activation. A B C Figure 2-40 Arthroscopic view through a posterior subacromial portal of a right shoulder, demonstrating use of the Needle Punch (Arthrex) suture-passing instrument.
These antegrade instruments allow the arthroscopist to grasp the tissue, judge the proposed position, and deliver the suture through the tissue in one simple sequence of motion. The depth of “bite,” however, is limited by the length of the jaws of the instrument. ; Naples, FL). A: The posterior suture position stows the suture safely away from the upper hook. B: The anterior suture position allows the suture to be engaged by the hook from the upper jaw by pushing the suture forward into the hook.
After tying an arthroscopic sliding knot extracorporeally, the post limb is pulled to draw the sliding knot into the joint. To accomplish this, however, the suture must slide through the anchor eyelet and, therefore, can be subjected to abrasion. To investigate the potential role of suture abrasion, Bardana et al. (12) and Lo et al. (13) cycled #2 Ethibond suture under load through various suture anchor eyelets until the suture catastrophically failed (Fig. 3-4). qxd 1/18/06 3:24 AM Page 36 pinnacle 27B:GRBQ104:Chapter:Chapter-03: 36 Part I: The Basis of Cowboyin’ Figure 3-4 Abrasion testing apparatus.