ROTATOR CUFF with and without GRAFT JACKET

Arthroscopy has revolutionized the treatment of the rotator cuff. The rotator cuff can be repaired without opening the shoulder. This technique minimizes post-operative pain and stiffness while maximizing results. I was fortunate to learn this technique from great surgeons at the University of Oklahoma and the Tahoe Fracture Clinic.

I have performed hundreds of primary and revision arthroscopic rotator cuff repairs. Despite the ability to perform marginal convergence stitches, traction sutures and interval slides, some rotator cuffs cannot be primarily repaired. For this condition, Graft Jacket interposition can be used to facilitate the soft tissue repair. Arthroscopic graft jacket interposition placement is a technique I learned from Dr. James Bond from the Southern California Orthopaedic Institute. This technique is very powerful and is only available at a few centers throughout the country.

before
after

SHOULDER ARTHRITIS
Shoulder arthritis is much less common than rotator cuff pathology. Total shoulder arthroplasty and hemiarthroplasty effectively treat this condition. I have had the opportunity to learn these procedures from some of the most accomplished surgeons in the country including Charlie Rockwood. I have also learned to utilize humeral head resurfacing and arthroscopic glenoid resurfacing for the treatment of this condition.

before
after

REVERSE TOTAL SHOULDER ARTHROPLASTY
Despite every technique currently available, some rotator cuffs cannot be repaired. When no other option is available, reverse total shoulder arthroplasty is a salvage procedure used to optimize shoulder function. Training from the McBride Clinic and the Lake Tahoe Orthopaedic Institute allowed me to work with reverse shoulder specialists and designers that performed a high volume of these procedures.

Rotator Interval closure video
Later-jay pictured above

INSTABILITY
Instability of the shoulder is a common problem. Instability ranges from atraumatic multidirectional to recurrent traumatic dislocations. Most of these conditions can be repaired without opening the shoulder. Some revision situations require open surgery. The procedures I use for these revisions include the Later-jay and Bristow for anterior dislocations, and tricortical illac crest for posterior dislocations.

OTHER ARTHROSCOPIC PROCEDURES
There are a wide array of additional arthroscopic procedures utilized to treat conditions of the shoulder. These include subacromial decompressions, distal clavicle excisions, SLAP repairs, AC joint reconstructions some capsular avulsion injuries.
 
http://ndallaschiropractic.com http://trinityfamilychiropractic.com http://www.swacupunctureclinic.com www.menningerclinic.com http://www.alamoranchdental.com detoxofsouthflorida.com gastroinflorida.com

Orthopedic Specialists of Louisiana   1500 Line Avenue   Shreveport, LA 71101  p318.635.3052   f318.635.3072