Lesser Tuberosity Osteotomy in Anatomic Total Shoulder Arthroplasty:

Journal of Shoulder and Elbow Arthroplasty

AlexanderMartusiewicz¹ 

关键词: Anatomic total shoulder;    arthroplasty;    lesser tuberosity;    lesser tuberosity osteotomy;    osteotomy;    replacement;    shoulder;    subscapularis;    total shoulder arthroplasty;   

DOI  :  10.1177/2471549218809713

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

The deltopectoral exposure has earned the reputation as the “workhorse” approach to the shoulder. Due to the reproducible anatomy and its extensile nature, there is little debate when considering exposure in total shoulder arthroplasty (TSA). Despite this consensus, there is still significant variability in management of the subscapularis. Several repair techniques including a subscapularis tenotomy, peel, and lesser tuberosity osteotomy (LTO) have been developed to ensure healing and optimize function. This article focuses on performing a LTO in anatomic TSA. We will review the surgical technique and advantages in exposure in addition to biomechanical and clinical outcomes.

【 授权许可】

CC BY