Arthroscopic Total Shoulder Resurfacing by Ruben Gobezie MD and Samuel Dubrow MD скачать в хорошем качестве

Arthroscopic Total Shoulder Resurfacing by Ruben Gobezie MD and Samuel Dubrow MD

#jomi #surgicalvideo #shoulderresurfacing Watch the FULL SURGICAL PROCEDURE at https://jomi.com/article/1 ABSTRACT: Limited treatment options exist for glenohumeral osteoarthritis in a young and active patient. To address the pain and limitation of significant osteoarthritis while avoiding a total shoulder arthroplasty (TSA), we have been using a minimally invasive technique to resurface both the glenoid and the humeral head using osteochondral allografts. After identifying the areas of most severe chondral damage during a diagnostic arthroscopy, a transhumeral tunnel is drilled using a transhumeral guidepin. Through this tunnel, the allograft donor sites are prepared by retrograde reaming the humeral head and antegrade reaming the glenoid socket. Allograft constructs are sized and cut intra-operatively on a back table, inserted through the anterior portal, and secured into the graft sites using chondral darts for the glenoid and a press fit for the humeral head.