Rotator cuff tears with anterior cable disruption show a more detrimental natural history than tears with an intact cable. Anterior cable reconstruction in the setting of such tears provides a potential avenue to improve tissue quality of the repaired construct and enhance repair longevity. Cadaveric studies investigating anterior cable reconstruction have shown biomechanical advantages. We present an arthroscopic surgical technique for rotator cuff anterior cable reconstruction using long head of the biceps tendon autograft in the setting of repairable large-to-massive rotator cuff tears with poor anterior cable tissue quality.
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http://dx.doi.org/10.1016/j.eats.2020.02.001 | DOI Listing |
BMC Musculoskelet Disord
December 2024
Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Background: Sternoclavicular joint dislocation (SJD) is rare, and joint instability after dislocation easily leads to deformity, pain, and limitations in performing activities, often requiring surgical treatment. Currently, there is no ideal internal fixation method for SJD.
Case Presentation: We report the case of a 38-year-old female patient with anterior dislocation of the right sternoclavicular joint (SJ) caused by a car accident who underwent open reduction and internal fixation using the double plate technique combined with the cable technique.
J Surg Orthop Adv
December 2024
McLaren-Flint, Flint, Michigan; Kettering University, Flint, Michigan.
In cases of cervical facet dislocations, traction is typically delivered in the acute setting with tongs attached to the skull via two pins. Although the pins are recommended to be inserted symmetrically in a neutral loading position, erroneous asymmetric pin placement has been documented in case reports, but its biomechanical implications are unknown. The current study utilized a human surrogate to evaluate the influence of asymmetrically placed pins in the axial or frontal planes.
View Article and Find Full Text PDFCureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
JSES Rev Rep Tech
November 2024
Department of Orthopaedic Surgery, Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA.
Massive rotator cuff tears constitute approximately 20% of all rotator cuff tears. Poor tissue quality or significant retraction can lead to failure of the repair. The anterior rotator cuff cable is essential in transmitting force to the proximal humerus and serves as the main load-bearing structure within the supraspinatus.
View Article and Find Full Text PDFClin Biomech (Bristol)
December 2024
Department of Orthopedic Surgery, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA. Electronic address:
Background: While traditional metallic cerclage remains the primary method in clinical application, non-metallic cerclage systems have recently gained popularity due to low risks of soft tissue irritation and bone intrusion. The objective of this study was to assess the performance of a novel non-metallic suture-based cerclage in comparison to traditional metallic cerclage cables for fixation of periprosthetic femoral fractures.
Methods: An extended trochanteric osteotomy was performed on eight pairs of cadaveric femora, followed by reduction using either metallic cerclages (Group I) or the suture-based cerclage (Group II).
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