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Orthop. Traumatol. 2:71-77.(1993) Lennard Funk Donald B Mackenzie. The Antero-superior Approach for Total Shoulder Replacement.

Mackenzie Approach LF

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Page 1: Mackenzie Approach LF

Orthop. Traumatol. 2:71-77.(1993)

Lennard Funk

Donald B Mackenzie. The Antero-superior Approach for Total Shoulder Replacement.

Page 2: Mackenzie Approach LF

Orthop. Traumatol. 2:71-77.(1993)

!   Circuitous route to Glenoid

!   Difficult access to Posterior & Superiorly displaced Tuberosities

!   Rotator interval may be difficult to identify adequately

!   CHL release may be difficult

!   Cephilic vein & Deltoid branch of Thoracoacromial artery -

troublesome

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!  Direct route to Glenoid

!  Easy access to Posterior & Superiorly displaced Tuberosities

!  Direct access through Rotator interval

!  CHL release

!  Cephilic vein & Deltoid branch of Thoracoacromial artery not

violated

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•  Stay in Bursa •  Know Anatomy •  Identify Nerve (vision / palpation) •  Stay Suture

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