Several techniques are available for subscapularis management during total shoulder arthroplasty (TSA). Lesser tuberosity osteotomy (LTO) is advocated owing to improved biomechanical strength and high rates of healing. However, displacement or nonunion of the LTO could theoretically cause functional deficits for the affected shoulder. The purpose of this study is to examine the healing rate and clinical outcomes of LTO in patients undergoing anatomic TSA.
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