Basim Fleega

GOC Schulter-Klink Bonn Germany · Shoulder and arthroscopic surgery

The results of conservative treatment of displaced proximal humerus fractures are not satisfactory. Open reconstruction and rigid internal fixation, as well as arthroscopic-assisted reduction and internal fixation, are possible in selected cases, mostly young patients. Older patients with osteoporotic, comminuted bone accounts for 70% of the cases....

Starting from open to mini open to full arthroscopic anchor different types of repair to transosseous arthroscopic repair; a description and comparison study of the different techniques

Neer and Foster's open inferior capsular shift to treat acquired cases of anteroinferior shoulder instability due to an overstretched and redundant capsule is described with good results. Recently, new arthroscopic techniques were described to manage this problem. To assess the results of a new arthroscopic reinforced inferior capsular shift techni...

This article presents an arthroscopic inferior capsular shift technique. In this technique, the same type of inferior capsular shift as with the open standard Neer procedure can be performed. After standard diagnostic shoulder arthroscopy, a bone trough is made along the capsular attachment to the humeral head using an abrader. An inverted L-shaped...

A new arthroscopic approach for traumatic instability has been developed with which avulsed capsulolabral tissue can be effectively attached to the glenoid articular rim with sutures, providing anatomic reattachment and effective deepening of the glenoid concavity similar to that achieved by open repair. This technique does not depend on fixation d...

A new arthroscopic approach for traumatic instability has been developed with which avulsed capsulolabral tissue can be effectively attached to the glenoid articular rim with sutures, providing anatomic reattachment and effective deepening of the glenoid concavity similar to that achieved by open repair. This technique does not depend on fixation d...

An arthroscopic transhumeral rotator cuff repair technique is presented with which the same type of cuff repair can be performed as with an open standard procedure. After adequate arthroscopic subacromial decompression, a bone trough is made on the greater tuberosity and a hole is punctured with a sharp hook. A special bone-cutting needle with a su...

The fixation of the superior labrum using the punch-chop needle overlap technique (Aeratec Inc, Uniondale, NY) for reattaching torn labral tissue to bone allows ease of suture placement for type II SLAP lesion repair with fixation overlapping the superior rim of the glenoid and without the use of anchors. The technique presented includes preparatio...

A secure slip knot is very important in the field of arthroscopy. The new giant knot, developed by the first author, has the properties of being a one-way self-locking slip knot, which is secured without additional half hitches and can tolerate higher forces to be untied.

Postoperative rehabilitation for the shoulder joint is a challenge for the therapist, surgeon and patient. A special, self-assisted rehabilitation program was developed in our department in the 1980s. This program is based on cooperation between the therapist and surgeon; together they set up the program and train and monitor the patient. The exerc...