Trillat humeral head retractor. Nov 1, 2021 · A Trillat instrument is introduced in the joint to slightly posteriorly subluxate the humeral head to get a better view of the anterior labrum, and a wide glenoid retractor is exchanged with the Hohmann retractor on the medial side of the anterior glenoid to improve the visualization of the anterior glenoid. We prefer to treat patients with recurrent anterior shoulder instability and irreparable rotator cuff tears with the Trillat procedure because in such patients, often the only functional cuff remaining is the sub-scapularis and teres minor. Buy Ambler Surgical Stainless Steel Humeral head retractor, 11 3/4'',strongly curved blade, blunt tip, made in Germany fi of stabilizing the shoulder and preventing humeral head superior migration by lowering the subscapularis. Apr 3, 2021 · At the end of the open Trillat procedure, it is necessary to control the sling effect of the conjoint tendon (green cross) around the humeral head (blue cross) with rotational movements applied on the arm at the end of the procedure. A Trillat instrument is introduced in the joint to slightly posteriorly subluxate the humeral head to get a better view of the anterior labrum, and a wide glenoid retractor is exchanged with the Hohmann retractor on the medial side of the anterior glenoid to improve the visualization of the anterior glenoid. Humeral Head Retractor Placed between the glenoid and the humeral head to obtain excellent exposure PRODUCT NO: T1007 Nov 20, 2020 · Among the many different procedures available in the treatment of shoulder instability, the Trillat procedure remains indicated in case of recurrent shoulder instability in elderly patient with an irreparable cuff tear or in case of hyperlaxity. Arthroscopic Trillat procedure using suture buttons. Despite the constantly increasing number of arthroscopic assisted techniques, the open procedure remains a simple, reliable and fast surgical At the end of the open Trillat procedure, it is necessary to control the sling effect of the conjoint tendon (green cross) around the humeral head (blue cross) with rotational move-ments applied on the arm at the end of the procedure. This enables the conjoint tendon to act dynamically as a sling and push the humeral head posteriorly during abduction. Innomed Shoulder Instruments — retractors & elevators. If this proves inadequate, we will also try a Fukada humeral head retractor, a large glenoid rim retractor, or one or more Hohmann retractors (these retractors are shown in Chapter 3). Innomed Shoulder Instruments — retractors & elevators The primary objective of the Trillat procedure is to reduce the space between the tip of the coracoid process and the anterior part of the glenoid, thereby preventing the humeral head from slipping during anterior dislocation (Figs 2 and 3). Aug 4, 2016 · We then determine which posterior glenoid retractor yields the best exposure. We start with the Trillat humeral head retractor. By stabilizing the glenohumeral joint and sparing the subscapularis, the Trillat procedure has 2 key advantages: (1) It avoids further anterior dislocations, and (2) it delays the onset of cuff tear arthropathy. The rotator cuff tear was de ned as “irreparable because of severe fi ” tendon retraction to the glenoid level or beyond (stage 3 or 4), severe fatty in ltration of the cuff muscles fi (Goutallier stage 3 or 4),24and/or upward migration of the humeral head under the acromial arch Fig 4. qkw dfmncv bzuilru xerfes xbcfs jspfv ctpniwpy rcro zkyltr saifs