If there is cartilage attached to the tuberosities, this needs to be resected. enlarge

Prepare the greater tuberosity for later suture fixation

If there is cartilage attached to the tuberosities, this needs to be resected.


In general, the reattachment of the tuberosities can be performed with sutures or cables. enlarge

In general, the reattachment of the tuberosities can be performed with sutures or cables. We will demonstrate the use of cables through the holes in the prosthesis.

Passing the cables is easier if two 2.0 mm drill holes are first placed through the greater tuberosity. Pass the cables with a wire or cable passer, if needed.


A standard catheter 14G can be bent in a hockey-stick shape and used as a cable passer. enlarge

Pearl: use a passing instrument
Pass the cables through the bone with an appropriate instrument. A standard catheter 14G can be bent in a hockey-stick shape and used as a cable passer.