Title : Hybrid limited shoulder surgical management (HLSSM)
Abstract:
The idea of HLSSM is to have a minimally invasive procedure, whereby the arthroscopic surgery begins with an 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 instruments but conventional surgical instruments 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 it is low cost. They can be used by shoulder surgeons experienced in shoulder arthroscopy and the Mini Lateral Shoulder Approach (MLSA) technique, especially in countries where arthroscopic shoulder release and anchor screw repair are expensive or unavailable.