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συρραφή τενόντιου πετάλου

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συρραφή τενόντιου πετάλου

  1. 1. Rotator Cuff Tear Repair Manos Antonogiannakis, M.D.
  2. 2.  44 year old  Over head worker Pain after a fall 10 days ago  Pain and inability to raise his arm  MRI: complete tear of supraspinatus and infraspinatus
  3. 3. Joint Side Inspection
  4. 4. Bursal Side Inspection-Bursectomy
  5. 5. Bursal excision – Tendon mobilization
  6. 6. Tendon debridement- Tear morphology recognition
  7. 7. Tendon debridement
  8. 8. Final Inspection
  9. 9. Mobility Check
  10. 10. Acromioplasty
  11. 11. Mobilization of the Articular Part of the Rotator Cuff
  12. 12. Tuberoplasty
  13. 13. 1st Anchor Insertion – Medial Row
  14. 14. 1st suture passage- Medial row - mattress
  15. 15. 2nd suture passage- Medial row - mattress
  16. 16. 4rd suture passage- Medial row - mattress
  17. 17. 2nd Anchor Insertion – Medial Row
  18. 18. suture passage- Medial row – post. anchor
  19. 19. suture passage- Medial row – post. anchor
  20. 20. Suture inspection – medial row - mattress
  21. 21. Lateral Row 1st Anchor Insertion
  22. 22. Lateral Row Suture Passage
  23. 23. Lateral Row Suture Passage
  24. 24. Lateral Row 2nd Anchor Insertion
  25. 25. Lateral Row Suture Passage
  26. 26. Inspection of Suture Position
  27. 27. Knot Tying Lateral Row
  28. 28. Knot Tying Mattress Medial Row
  29. 29. Knot Tying Mattress Medial Row
  30. 30. Knot Tying Lateral Row
  31. 31. Knot Tying Lateral Row
  32. 32. Knot Tying Mattress Medial Row
  33. 33. Final Repair
  34. 34. Inspection from the Glenohumeral Joint

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