3rd INTERNATIONAL CONFERENCE ON ARTHROPLASTY AND ORTHOPEDIC SURGERY
NOVEMBER 23-24, 2023 | DUBAI, UAE
Theme: 'SIMPLIYFING COMPLEXITIES’ – Shaping the future of Orthopedic Surgery
Ahmed Hagnasir
University Crosshouse Hospital, United KingdomTitle: A technique for passing tuberosity-implant cerclage ribbons in fracture-inverse total shoulder arthroplasty
Abstract
Complex proximal
humerus fractures are difficult to treat particularly in patients above 65
years with osteoporotic bone and disturbed anatomical landmarks.
Fracture-inverse total shoulder arthroplasty has shown a good treatment option
for these injuries. However better results are associated with meticulous
reduction and fixation of the tuberosities around the implant. In this study we describe a simple technique
to pass cerclage ribbons to fix the tuberosities together around the inverse
total shoulder arthroplasty. Methods: This is a retrospective cohort study
which was performed from January 2019 to January 2021. Thirty-five shoulders
with 3 & 4 parts proximal humerus fractures had underwent fracture-inverse
total shoulder arthroplasty with a special technique for tuberosities repair.
Follow up was minimum 24 months. Results: The tuberosity healing rate was 86%. Complete resorption of one or more
tuberosities occurred in 8%, and tuberosity migration and nonunion presented in
6%. Conclusion: This surgical technique offers a simple way for passing
cerclage ribbons in Fracture-inverse total shoulder arthroplasty for fixing the
tuberosities together and to the implant. It has been shown to encourage
tuberosity healing which improves shoulder stability and results in more
optimal restoration of rotator cuff function.
Biography
Ahmed Hagnasir
has completed M.D in Trauma & Orthopedic from Sudan, and MSc Sports and
Exercise Medicine from University of South Wales. He was awarded FRCS 9Tr &
Orth). He works as a Specialty Doctor in University Crosshouse Hospital in
Scotland.
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