Clavicular osteotomy in shoulder arthroplasty

Abstract

We present an approach to the shoulder which is easily performed, offers unrivalled exposure for the accurate placement of prostheses or reconstruction of complicated fractures and is easily closed. We have used this approach since 1977 and report our results in 128 patients.

Does Reverse Shoulder Arthroplasty for Tumors of the Proximal Humerus Reduce Impairment?

“…Wide resection through a large deltopectoral approach, which included the biopsy site, was performed. In 12 patients, a modified clavicular osteotomy technique as described by Redfern et al [37] was used. In this technique, a clavicular osteotomy is performed at the insertion of the deltoid muscle [37].…”

“…In 12 patients, a modified clavicular osteotomy technique as described by Redfern et al [37] was used. In this technique, a clavicular osteotomy is performed at the insertion of the deltoid muscle [37]. The osteotomy fragment is hinged in the acromioclavicular joint, which is resected to enhance the superior access to the joint.…”

Reconstruction of massive uncontained glenoid defects using a combined autograft-allograft construct with reverse shoulder arthroplasty: preliminary results

“…We prefer to use a clavicle osteotomy, as described by Redfern et al, 57 to improve access and visualization of the glenoid in these difficult cases, although this is not mandatory. We also perform an osteotomy of the lesser tuberosity and the greater tuberosity, if required in the revision setting, to enable their reattachment in a mechanically favorable position.…”

A new prosthetic design for proximal humeral fractures: reconstructing the glenohumeral unit

“…4,[8][9][10]14,[16][17][18] Although a favorable outcome in terms of pain relief can be expected, function is often not satisfactory. 9,11,15,16,18 The key to the success of hemiarthroplasty is a functional rotator cuff mechanism. Loss of bony landmarks and bone loss complicate an anatomic reduction and fixation of the tuberosities.…”