2021 Annual Meeting Shoulder Access Pass-Case Panel: My Worst Complications-Fronek

Case Panel: My Worst Complications-Fronek

Video Transcription

Video Summary

The discussion covers rotator cuff repair considerations, including patient evaluation beyond MRI, such as age, tear chronicity, physical exam, and imaging for bone quality. Intraoperative tips emphasize thorough bursectomy, capsule release, tissue assessment, and choosing repair technique (single vs double row) based on pathology. Rehab and therapist communication are crucial. For revision surgery, bone quality assessment via age, sex, X-ray, and DEXA aids planning. Optimal anchor placement targets strong subchondral bone. Transosseous repair can bypass weak bone. In coracoid transfers, proper scapular positioning, arthroscopic evaluation, cautious osteotomy, nerve protection, and secure fixation are key. Consent should encompass all possible interventions.

Asset Caption

Dr. Jan Fronek

Keywords

rotator cuff repair

patient evaluation

intraoperative techniques

rehabilitation communication

revision surgery planning