The technique we described consists in the identification and reconstruction of the medial part of calcar that becomes “the thread conductor” for restoration of the height and the retrotorsion of the humeral head.
The authors describe a surgical technique with a modular prosthesis that permits an anatomical reconstruction of the proximal humerus from the calcar-side, that becomes the point reference of reconstruction with the “Puzzle-Pieces” technique.
The technique we described consists in the identification and reconstruction of the medial part of calcar that becomes “the thread conductor” for restoration of the height and the retrotorsion of the humeral head.
The goal of this technique is to restore normal anatomy of proximal humerus around a bone bridge inside the head and the metaphysis.
The Authors report the goal of this technique is to restore normal anatomy of proximal humerus around a triangle-shaped bone block positioned inside between the head and the metaphyseal. The fragments are then stabilized with a minimal osteosynthesis by K- wires, screws or bone sutures. The results of our study show that the technique we propose has good clinical and functional outcomes, with a low percentage of complications.
Arthroscopic capsulolabral stabilization for the treatment of recurrent anterior shoulder instability repair using absorbable Knotless offers reliable results with respect to failure rate, range of motion, and shoulder function also at 4 years follow-up. The percentage of rate for instability is 6,7% and is in accord with the International Literature on non resorbable anchors.