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 options in shoulder arthroscopy. Dr. Burkhart describes the cutting edge thoughts 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 publication. greater than 900 full-color arthroscopic and medical images 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 exhibiting the 70 tactics. each one strategy within the textual content correlates precisely to the video.

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Extra resources for Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy

Sample text

2-37F). To retrieve the suture loop using the upper jaw of the Scorpion, it is easiest to ratchet a larger loop through the tissue before hooking the suture loop with the open upper jaw (Fig. 2-38). In using the Scorpion, we try to limit needle activation to 15 times per needle to avoid potential fatigue fracture or breakage of the nitinol needle. It is important to be cognizant of the number of times the needle has been activated by ratcheting. Needle Punch The Needle Punch (Arthrex) requires the use of a special suture that has a malleable needle tip, which is used to penetrate the soft tissue.

3-26A). Any excess suture is wrapped around the fingers of one hand (Fig. 3-26B) to apply any needed tension (Fig. 3-26C) when tying the knot. The free hand is used to throw successive half-hitches around the knot pusher. We prefer using the dominant hand to throw these half-hitches (Fig. 3-26D). With this knot pusher, the outer plastic sleeve is used to push the half-hitch into the shoulder. After the initial half-hitch has been placed, the inner metal knot pusher is used to hold the first half-hitch in place as subsequent half-hitches are thrown and pushed into the joint using the outer plastic sleeve (Fig.

57 58 Sliding Knots The most common sliding knots are the Duncan loop, Nicky's knot, Tennessee slider, Roeder knot, SMC knot, and Weston knot (see Fig. 3-20). These knots can be further divided into nonlocking sliding knots (Duncan loop) (Fig. 3-30A), and locking sliding knots (Nicky's knot, Tennessee slider, Roeder knot, SMC knot, Weston knot) (Fig. 3-30B-C). Locking knots are advantageous because they can be flipped or locked to prevent backing off of the knot, whereas nonlocking knots can back off if the repair is under tension.

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