Lesser Tuberosity Osteotomy Combined with Anteroinferior Capsulectomy for Anatomic Shoulder Arthroplasty

Custom, 3-Dimensional Patient-Specific Instrumentation in Anatomic Total Shoulder Arthroplasty: Part 2, Dissection and Soft Tissue Management

“…The potential benefits of LTO are bone-to-bone healing, decreased pull through of the sutures, easier postoperative surveillance of healing via radiographs, and increased exposure of the glenoid—as part of the humerus is taken out. 22 Yet, these three techniques have shown similar results biomechanically regarding cyclic tendon elongation and load to failure. 23 Although some evidence suggests better results with LTO compared with subscapularis peel and tenotomy, 24 , 25 clinical trials have demonstrated that the techniques presented similar clinical outcomes and healing, 26 , 27 , 28 , 29 advocating that the choice of the technique should rely also on the surgeon preference and experience.…”