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1、Bigliani/Flatow®TheCompleteShoulderSolutionTSASurgicalTechniqueReplicatesnaturalshouldermobility,balance,andstabilityBigliani/Flatow®TheCompleteShoulderSolutionSurgicalTechniqueBigliani/Flatow®TableofContentsTheCompleteShoulderSolutionInstrumentsPatientPositionin
2、g2andSurgicalTechniqueDevelopedinconjunctionwithIncisionandExposure2LouisBigliani,M.D.Chairman,DepartmentofOrthopaedicsHumeralPreparation4Director,TheShoulderServiceNewYorkPresbyterianHospitalColumbi-PresbyterianCenterGlenoidPreparation10NewYork,NewYorkForKeeledGl
3、enoidComponent12EvanFlatow,M.D.ChiefofShoulderSurgeryMountSinaiMedicalCenterForPeggedGlenoidComponent14NewYork,NewYorkHumeralHeadSelection16InstrumentsandSurgicalTechniquefortheWHTGlenoidDeviceWHTGlenoidDeviceSurgicalTechnique19DevelopedinconjunctionwithImplantati
4、on21R.MichaelGross,M.D.GIKKOrthopaedicsOmaha,NebraskaHumeralHeadRemoval28Closure28PostoperativeManagement28Bigliani/Flatow®TheCompleteShoulderSolutionSurgicalTechniquePatientPositioningIncisionandExposureretractingthepectoralismajormediallyandthedeltoidlaterally.
5、IdentifyanddissecttheintervalbetweenPatientpositioningisespeciallyFirst,markthecoracoidprocess.thepectoralismajormuscleandtheimportantintotalshouldersurgery(Fig.Thenmarkthelineoftheincision,cephalicvein.Retractthecephalic1).Placethepatientinasemi-beach-beginningat
6、theclaviclejustlateraltoveineithermediallyor,preferably,chairposition.Useaheadrestthatthecoracoidprocess.Extendthelinelaterallyasthiswillminimizebleedingallowsforthesuperiorpartofthetablealongthedeltapectoralgroovetothefromthedeltoidmuscleorcephalictoberemoved.Pla
7、cetwotowelsunderareaofthemid-humerus(Fig.2).Thenvein.Releasetheupper1cm-2cmofthespineandthemedialborderofthemaketheincisionfollowingtheline.theinsertionofthepectoralismajorscapulatoraisetheaffectedside.RaiseUnderminetheskinflapstoimprovetendon,beingcarefultoavoidt
8、helongtheheadofthetableapproximately25-exposure.Dissectsubcutaneoustissueheadofthebicepstendon.Inverytight30degreestoreducevenouspressure.fromthedeltoid
