Patrick J. Denard, MD, Matthew P. Noyes, MD, Alexandre Lädermann, MD

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Presentation transcript:

A Tensionable Method for Subscapularis Repair after Shoulder Arthroplasty Patrick J. Denard, MD, Matthew P. Noyes, MD, Alexandre Lädermann, MD JSES Open Access Volume 2, Issue 4, Pages 205-210 (December 2018) DOI: 10.1016/j.jses.2018.08.003 Copyright © 2018 The Author(s) Terms and Conditions

Figure 1 Schematic of the traditional lesser tuberosity repair with 4 sutures passed around a humeral stem. JSES Open Access 2018 2, 205-210DOI: (10.1016/j.jses.2018.08.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 2 (A) A suture tape prefashioned with a half racking suture on the end is passed from lateral to medial through the inferior 2 holes, and (B) a separate suture is passed through the superior hole. JSES Open Access 2018 2, 205-210DOI: (10.1016/j.jses.2018.08.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 3 The stem is placed so that the sutures pass around the prosthesis. (A) The sutures are passed through the subscapularis tendon, and (B) the wedged ends are cut to provide access to 4 free limbs. JSES Open Access 2018 2, 205-210DOI: (10.1016/j.jses.2018.08.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 4 (A) One suture limb from each pair is selected and (B) passed through the prefashioned half racking suture. JSES Open Access 2018 2, 205-210DOI: (10.1016/j.jses.2018.08.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 5 The suture limbs passed through the half racking suture are tensioned. Tensioning was done under visual inspection. JSES Open Access 2018 2, 205-210DOI: (10.1016/j.jses.2018.08.003) Copyright © 2018 The Author(s) Terms and Conditions

Figure 6 Final repair. JSES Open Access 2018 2, 205-210DOI: (10.1016/j.jses.2018.08.003) Copyright © 2018 The Author(s) Terms and Conditions