
By Tetsu Kanno
ISBN-10: 4431285512
ISBN-13: 9784431285519
The first target of neurosurgeons is to accomplish the very best end result for sufferers whereas minimizing nervous-system damage via their interventions. nice advances within the perform of minimally invasive neurosurgery during the last couple of a long time were made attainable via technological advances delivering more and more subtle instrumentation to be used within the working room, necessitating the purchase of recent surgical abilities and information. Dissemination of this sort of wisdom was once the typical aim of 2 meetings, the sixth overseas Congress of Minimally Invasive surgical procedure and the third international Congress of the Academy for Multidisciplinary Neurotraumatology, held at the same time in Nagoya, Japan, in March 2005. This quantity of complaints comprises of their entirety the studies submitted at either those conferences, and gives priceless insights into the newest suggestions in medical neurosurgery for practitioners from a huge diversity of disciplines.
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Extra info for Minimally Invasive Shoulder and Elbow Surgery
Example text
Forty percent of the time, the labrum is attached centrally and is therefore not mobile (1). The superior labrum can become torn, causing pain and instability. These superior labral anterior to posterior (SLAP) tears occur in many varieties that can be categorized into four main types (some argue seven types) (2). Type I (Fig. 3) is simply fraying of the labrum, with an intact attachment. Type II (Fig. 4) is a detachment of the labrum from the glenoid. Type III is a bucket handle tear. Type IV is a bucket handle tear that extends into the biceps tendon (3).
Others prefer the security that the reinforced polyester sutures provide during the knot-tying process and will accept the slightly higher friction. Ultimately, it depends on the individual surgeons’ preference which suture material is used. As a general rule, one should know the advantages and disadvantages of the suture material used, in order to anticipate problems during the knot-tying process. Suture anchor eyelet design also affects knot tying. Early metallic anchors had edges on the eyelets that could fatigue and wear suture material.
3. Snyder SJ, Karzel RP, Del Pizzo W, et al. SLAP lesions of the shoulder. Arthroscopy 1990; 6(4):274– 279. 4. Williams MM, Snyder SJ, Buford D Jr. The Buford complex: the “cord-like” middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulolabral variant. Arthroscopy 1994; 10(3):241– 247. 5. Steinbeck J, Liljenqvist U, Jerosch J. The anatomy of the glenohumeral ligamentous complex and its contribution to anterior shoulder stability. J Shoulder Elbow Surg 1998; 7(2):122– 126.
Minimally Invasive Shoulder and Elbow Surgery by Tetsu Kanno
by Anthony
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