Vertical Incomplete Humerotomy (VIH) with Suture Loop Cerclages for Humeral Stem Extraction and Reimplantation in Revision of Shoulder Arthroplasty

Key Points

Extraction of cemented or uncemented humeral components is facilitated with vertical incomplete humerotomy.
Utilizing suture loops and a non-sliding knot achieves consistent bone healing during revision surgeries.
Application of cerclage fixation enhances stability without risking additional fractures in the humerus.
This method indicates potential benefits over traditional wire fixation, though clinical validation is essential.

Abstract

(1) VIH facilitates extraction of well-fixed cemented or uncemented humeral components and prevents iatrogenic humeral fractures in revision shoulder arthroplasty, and (2) Suture fixation, using suture loops (Nice Loop; Tornier-Stryker, Kalamazoo, MI, USA) and a non-sliding knot ("Nice knot"), provides constant bone healing and is an alternative to wire for cerclage fixation of humerotomy.

Vertical Incomplete Humerotomy (VIH) with Suture Loop Cerclages for Humeral Stem Extraction and Reimplantation in Revision of Shoulder Arthroplasty

Key Points

Abstract

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