Ahmed HagnasirUniversity Crosshouse Hospital, United Kingdom
Title: A technique for passing tuberosity-implant cerclage ribbons in fracture-inverse total shoulder arthroplasty
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.
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.