Abstract
Hybrid Limited Shoulder Surgery (HLSSM) is an idea for minimally invasive surgery, in which the surgery begins with an arthroscopic examination of the shoulder joint, the location and size of the lesion are determined, and then the lesion is accessed in a minimally invasive open surgical manner for surgical repair with no arthroscopic tools but conventional surgical tools in the second step.
Results: The average duration of the operation is 35 minutes, and the minimum duration is 25 minutes. This technique is simple, safe, and cosmetically acceptable for patients, full recovery after about three months of the procedure, and low cost.
Hybrid Limited shoulder surgery can be used by shoulder surgeons experienced in shoulder arthroscopy and the mini-shoulder release (MLSA) technique, especially in countries where arthroscopic shoulder release and anchor screw repair are expensive or unavailable.
HLSSM is Hybrid Limited Shoulder Surgical Management.
There is one endoscope incision at the posterior lateral margin of the acromion (usually) for insertion of the arthroscope, and the other incision for the probe. The incisions for the arthroscope are about 0.5 cm long.
After determining the full characteristics of the lesion. Its size, shape, and topographical location; We apply the Mini Lateral Shoulder Approach (MLSA) technique, known as Sayed Issa’s Approach.
HLSSM Hybrid Limited Shoulder Surgery technique has good rehabilitation in shorter patient time, faster return to work and daily activities, short recovery period, smaller surgical incision, less tissue damage, smaller scar, compared with traditional open shoulder release, the scar is gentle and cosmetically good to the skin, the operation takes about 35 to 45 minutes.
Disadvantages of traditional shoulder arthroscopy with lesions repair include; Expensive equipment and surgery and prolonged procedure time (more than 45 minutes). Importantly, several complications associated with this procedure have been reported.
Results
The average duration of the procedure is less than that of conventional shoulder arthroscopy. No major vascular or neurological complications were reported in any of our patients.
After a six-month follow-up evaluation, all patients were satisfied with their functional and cosmetic results.
The cosmetic appearance of the shoulder after surgery is an important issue related to skin incisions. Our results clearly showed that the HLSSM used by us is rather satisfactory and comparable to traditional open techniques. Patients’ overall satisfaction with the procedure was also good at the final follow-up visit eight months later.
Compared to the open repair, hybrid limited shoulder surgery techniques involve the small open repair by making a smaller incision. As with arthroscopic repair, this technique avoids the need to incise the shoulder muscles to access the torn tendons.
We did not find any differences between the two techniques and our method in terms of scar length, complications, and rehabilitation.
Our results in the hybrid limited shoulder surgery show that significant improvement in symptoms and function occurred in the first 3 weeks after surgery, and further improvement was maintained for 2 months after surgery. These preferences are comparable to those that occur after a conventional open shoulder release.
Link to registration in the National Library of Medicine of the National Institutes of Health in the United States of America
Search Results | Beta ClinicalTrials.gov
