Superior Capsule Reconstruction (SCR)
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Abstract

Superior capsular reconstruction (SCR) of the shoulder has recently gained popularity as an option for joint-preserving shoulder surgery for patients with an irreparable rotator cuff tear. In the absence of glenohumeral arthritis, rotator cuff tear irreparability should only be diagnosed for most patients after a careful diagnostic arthroscopy. Superior capsular reconstruction adds biological, passive, superior constraint to the glenohumeral joint, thereby optimizing the rotator cuff force couples and improving joint kinematics. At short-term follow-up, SCR has been shown to be effective for pain relief and restoration of active shoulder motion, even in the worst cases of shoulder dysfunction (true shoulder pseudoparalysis). The rapid early adoption and expansion of SCR is justified by its excellent anatomical, biomechanical, and short-term clinical results.

SCR surgical technical highlights:

  • 1.Subacromial decompression needs to be performed.
  • 2.Repair the subscapularis tear.
  • 3.Measure the tear with a probe.
  • 4.The SCR graft should preferably be thicker.
  • 5.Do not over-tension the graft on the anterior lateral side. If the graft is well secured medially, laterally, and posteriorly, anterior attachment is not necessary.
  • 6.For revision cases, transosseous repair is recommended to avoid existing suture anchors in the greater tuberosity.
  • 7.Arthroscopic SCR is a complex procedure. Mini-open SCR can save more operating time.
  • 8.Recovery takes about 6 to 12 months post-operatively.
  • 9.A healthy deltoid can contribute to post-op shoulder function recovery.
Meniscus Repair
 

Abstract

Meniscus tears are common in the pediatric population, typically occur after noncontact injuries, and can be diagnosed clinically with MRI confirmation. Surgery should be offered to patients with loss of range of motion, persistent symptoms, or displaced/complex tears. Given poor long-term outcomes reported after meniscectomy, repair should be attempted when possible as pediatric menisci are well vascularized and have better outcomes after repair than their adult counterparts. The location of the tear is an important determining factor when deciding on the type of repair to use. Pediatric meniscus repair techniques will be discussed noting differences between pediatric and adult procedures. Further studies are needed to explore the role of biologics and define postoperative protocols.
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ACL Reconstruction
 

Abstract

Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after an injury.[1] The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction. Theoretical advantages of repair include faster recovery[2] and a lack of donor site morbidity, but randomised controlled trials and long-term data regarding re-rupture rates using contemporary surgical techniques are lacking.
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Rotator Cuff Repair
 

Abstract

The rotator cuff consists of muscles and tendons that hold the shoulder in place. It’s one of the most important parts of the shoulder. It allows you to lift your arm and reach up. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. Rotator cuff degeneration and tears may also be caused by aging.

If your rotator cuff is injured, you may need to repair it surgically. This may include shaving off bone spurs that are pinching the shoulder, or repairing torn tendons or muscles in the shoulder. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that can’t be controlled by other treatments.

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Shoulder Labral Repair
 

Abstract

Shoulder Labral Repair is a surgical procedure used to repair a torn labrum in the shoulder joint. The labrum is a cartilage ring that provides stability and support to the shoulder joint. The procedure typically involves making an incision in the shoulder and repairing the torn labrum using sutures or a reconstruction procedure. The goal of the surgery is to restore the proper functioning of the shoulder joint and alleviate pain and discomfort.

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Biceps Repair
 

Abstract

Biceps repair, also known as biceps tendon repair, is a surgical procedure to repair a torn or damaged biceps tendon in the elbow. The procedure can be performed through open surgery or minimally invasive techniques, and recovery time varies depending on the severity of the injury and individual healing patterns. It is important to follow post-operative instructions for proper healing and to avoid strenuous activities to prevent setbacks.

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Hand & Wrist Scapholunate Ligament Repair
 

Abstract

Scapholunate ligament repair is a surgical procedure to repair a ligament in the wrist that connects the scaphoid bone to the lunate bone. It is typically performed to treat wrist instability or pain caused by a torn or stretched ligament. The procedure can be performed through a variety of approaches, including open surgery or arthroscopy, and may involve reattachment of the ligament to the bone or insertion of fixation devices.

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