The Bent Ring Handle Spike: A Simple Technique in Optimizing Exposure in Shoulder Surgery
Shannon Tse1*, An-Sofie Van de Kelft1, Michael Thomas2 and Abbas Rashid1
1 Department of Trauma & Orthopaedics, University College Hospital, London, United Kingdom.
2 Department of Trauma & Orthopaedics, Wexham Park Hospital, Frimley Health NHS Foundation Trust, United Kingdom.
*Corresponding Author: Shannon Tse, Department of Trauma & Orthopaedics, University College Hospital, 250 Euston Road, London NW1 2PG, United Kingdom.
DOI: https://doi.org/10.58624/SVOAOR.2023.03.044
Received: May 16, 2023 Published: May 25, 2023
Abstract
The traditional use of the Trethowan bone lever when providing superior retraction in open shoulder surgeries can result in obstructed views, limited light exposure, and ergonomic strain on assistants. We describe a simple modification of the ring handle spike that addresses these issues, allowing for maximal exposure and improved ergonomics. The curvature of a bent ring handle spike provides superior retraction without obstructing the surgeon's view and keeps the assistant's hand away from the operative field. This modification of the bone lever offers a simple and effective solution to a common problem, enabling adequate visibility to perform shoulder surgery safely and ergonomically.
Keywords: surgical technique; shoulder surgery; surgical ergonomics; surgical instrumentation; retraction.
Citation: Tse S, Van de Kelft AS, Thomas M, Rashid A. The Bent Ring Handle Spike: A Simple Technique in Optimizing Exposure in Shoulder Surgery. SVOA Orthopaedics 2023, 3:3, 52-54.