Minimally Invasive Shoulder and Elbow Surgery by William N. Levine, Theodore A. Blaine, Christopher S. Ahmad

By William N. Levine, Theodore A. Blaine, Christopher S. Ahmad

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, each one bankruptcy makes a speciality of particular concepts and may comprise innovations to augment restoration, decrease sufferer ache, and supply more advantageous functionality over conventional surgeries

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Extra info for Minimally Invasive Shoulder and Elbow Surgery

Sample text

7. 8. 9. 10. 11. Wolf EM. Arthroscopic capsulolabral repair using suture anchors. Orthop Clin North Am 1993; 24(1):59– 69. Mishra DK, Cannon WD Jr, Lukas DJ, et al. Elongation of arthroscopically tied knots. Am J Sports Med 1997; 25:113 – 117. Sharp HT, Dorsey JH, Choven JD, et al. A simple modification to add strength to the Roeder knot. J Am Assoc Gynecol Laparosc 1996; 3:305 – 307. Kim SH, Ha KI. The SMC knot—a new slip knot with locking mechanism. Arthroscopy 2000; 16: 563– 565. Weston PV. A new clinch knot.

It 30 Lattermann and Nicholson has excellent loop and knot security characteristic and can be used in almost every repair application in shoulder surgery where a sliding knot is appropriate (Figs. 4 and 5). Our Preferred Nonsliding Knot Five alternating half hitches switching the post twice are utilized. This knot is also called the “Revo knot” (8). The initial two half hitches are tied over handed down the same post. Even though it is a nonsliding knot, there is usually the ability to tension and tighten the knot by pulling on the nonpost limb, as the throws are brought down and past pointing is done to tighten them.

The knot pusher is placed on the post limb. The knot is easily advanced in only one direction by pulling on the post. The post limb is pulled, “pulling” the knot into the joint with the knot pusher “chasing” the knot but not pushing it. Once the knot is down onto the tissue, the knot pusher pushes the knot down while still pulling on the post limb. Once the Nicky knot is set, it will stay, but loop security can be enhanced by now tensioning the loop limb to “lock” the knot. This then allows the surgeon to secure the knot completely with three individual half hitches.

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