The incision is very useful and easy for the direct lateral shoulder joint exposure.
The skin incision is about 4 to 5 cm made by the distal acromial edge in sagittal plane, The dissection takes place slightly over the acromial edge proximally and over the origin of the acromial deltoid part (the middle part of deltoid origin) distally. After clearly revealing the region of the medial deltoid origin on the acromion, the acromionic deltoid origin is skinned only; of the edge of the acromion, and that maybe accrued by electric knife pen or periosteal elevator, without exposure the clavicular deltoid origin in the front and the deltoid origin on the spine of scapula in the back, the origin of the acromial deltoid is distanced laterally and distally, where the lateral edge, the lower surface of the acromion, under acromial bursa and the rotator cuff are exposed clearly. Throw this approach can be made acromioplasty and rotator cuff tears repair especially upper part of rotator cuff tear very easily. For wound closure the acromionic deltoid origin is reattached to the acromial edge by long period synthetic absorbable sutures as PDS and PDO, or non absorbable sutures as Polyester suture, under skin and skin sutures are made.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
28
The skin incision is about 4 to 5 cm made by the distal acromial edge in sagittal plane, The dissection takes place slightly over the acromial edge proximally and over the origin of the acromial deltoid part (the middle part of deltoid origin) distally. After clearly revealing the region of the medial deltoid origin on the acromion, the acromionic deltoid origin is skinned only; of the edge of the acromion, and that maybe accrued by electric knife pen or periosteal elevator, without exposure the clavicular deltoid origin in the front and the deltoid origin on the spine of scapula in the back, the origin of the acromial deltoid is distanced laterally and distally, where the lateral edge, the lower surface of the acromion, under acromial bursa and the rotator cuff are exposed clearly.
Dr. Sayed Issa's Clinic
Aleppo, Syria
Less surgical procedure time than traditional approaches
25 minutes to 45 minutes, it's depends of rotator cuff tear if exist or not.
Time frame: up to two years
Less rehabilitation time than traditional approaches
6 - 8 weeks
Time frame: up to two years
Passive physiotherapy immediately
next day of surgery
Time frame: up to two years
Active physiotherapy without rotator cuff tear
after two weeks of surgery
Time frame: up to two years
Mini cosmetic incision to the shoulder
4 - 5 cm
Time frame: up to two years
Active physiotherapy with rotator cuff tear
after three weeks of surgery
Time frame: up to two years
very good patients satisfaction
after 8 weeks
Time frame: up to two years
Restore deltoid muscle strength
about 3 months after surgery
Time frame: up to two years
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