Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture
To date, several open and arthroscopic surgical procedures are available for the treatment of anterior glenoid fractures after anterior shoulder dislocation. Open approaches require extensive soft-tissue dissection and are associated with poorer outcomes. Arthroscopic screw fixation techniques are t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-11-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628719301471 |
| _version_ | 1818409117206708224 |
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| author | Arasch Wafaisade, M.D. Thomas R. Pfeiffer, M.D. Maurice Balke, M.D. Daniel Guenther, M.D. Paola Koenen, M.D. |
| author_facet | Arasch Wafaisade, M.D. Thomas R. Pfeiffer, M.D. Maurice Balke, M.D. Daniel Guenther, M.D. Paola Koenen, M.D. |
| author_sort | Arasch Wafaisade, M.D. |
| collection | DOAJ |
| description | To date, several open and arthroscopic surgical procedures are available for the treatment of anterior glenoid fractures after anterior shoulder dislocation. Open approaches require extensive soft-tissue dissection and are associated with poorer outcomes. Arthroscopic screw fixation techniques are technically challenging and related to complications as well, for example, risk of brachial plexus injury or hardware impingement. Alternative arthroscopic fixation techniques use suture anchors placed along the fracture rim with sutures passed around the fragment. However, these techniques require an intact capsulolabral complex and cannot be used effectively for large fracture fragments. This article describes a safe interfragmentary, transosseous, all-arthroscopic procedure using a double–cortical button fixation technique. This method can be used to achieve anatomic reduction and stable fixation of intermediate to large anterior glenoid fractures while minimizing the difficulties associated with previously described arthroscopic or open approaches. |
| first_indexed | 2024-12-14T09:54:31Z |
| format | Article |
| id | doaj.art-8121f729bdee4eb6914d14f317aa3ae7 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T09:54:31Z |
| publishDate | 2019-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-8121f729bdee4eb6914d14f317aa3ae72022-12-21T23:07:26ZengElsevierArthroscopy Techniques2212-62872019-11-01811e1319e1326Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid FractureArasch Wafaisade, M.D.0Thomas R. Pfeiffer, M.D.1Maurice Balke, M.D.2Daniel Guenther, M.D.3Paola Koenen, M.D.4Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, Germany; Address correspondence to Arasch Wafaisade, M.D., Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Ostmerheimer Strasse 200, Cologne D-51109, Germany.Department of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, GermanySportsclinic Cologne, Cologne, GermanyDepartment of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, GermanyDepartment of Trauma and Orthopedic Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, GermanyTo date, several open and arthroscopic surgical procedures are available for the treatment of anterior glenoid fractures after anterior shoulder dislocation. Open approaches require extensive soft-tissue dissection and are associated with poorer outcomes. Arthroscopic screw fixation techniques are technically challenging and related to complications as well, for example, risk of brachial plexus injury or hardware impingement. Alternative arthroscopic fixation techniques use suture anchors placed along the fracture rim with sutures passed around the fragment. However, these techniques require an intact capsulolabral complex and cannot be used effectively for large fracture fragments. This article describes a safe interfragmentary, transosseous, all-arthroscopic procedure using a double–cortical button fixation technique. This method can be used to achieve anatomic reduction and stable fixation of intermediate to large anterior glenoid fractures while minimizing the difficulties associated with previously described arthroscopic or open approaches.http://www.sciencedirect.com/science/article/pii/S2212628719301471 |
| spellingShingle | Arasch Wafaisade, M.D. Thomas R. Pfeiffer, M.D. Maurice Balke, M.D. Daniel Guenther, M.D. Paola Koenen, M.D. Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture Arthroscopy Techniques |
| title | Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture |
| title_full | Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture |
| title_fullStr | Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture |
| title_full_unstemmed | Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture |
| title_short | Arthroscopic Transosseous Suture Button Fixation Technique for Treatment of Large Anterior Glenoid Fracture |
| title_sort | arthroscopic transosseous suture button fixation technique for treatment of large anterior glenoid fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2212628719301471 |
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