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KMID : 1037920160030020090
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Arthroscopy and Orthopedic Sports Medicine
2016 Volume.3 No. 2 p.90 ~ p.95
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Arthroscopy-assisted tension band fixation with buttress Kirschner wires and soft suture anchors for glenoid rim fractures
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Choi Chang-Hyuk
Kim Sung-Guk
Nam Jun-Ho
Kim Hee-Soo
Kwack Byung-Hoon
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Abstract
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Glenoid rim fractures are rare, and a consensus does not exist for the gold standard of treatment. Previous studies have shown favorable outcomes for glenoid rim fractures after open reduction and internal fixation and after arthroscopic treatment with perpendicular fixation. Yet these treatment methods have been associated with neurovascular injury and complications relating to the use of solid suture anchors. In this study, we investigated a novel surgical method for glenoid rim fractures that would address these limitations associated with current treatment methods. We employed two novel approaches: buttress Kirschner wire (K-wire) fixation through arthroscopic portals to reduce neurovascular injury; and insertion of soft suture anchors as an alternative to solid anchors. The purpose of this technical note is to inform the clinical audience about our novel surgical technique that utilizes buttress K-wires and soft suture anchors for displaced fractures of the anterior glenoid rim.
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KEYWORD
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Glenoid rim fracture, Soft suture anchor, K-wire
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