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Two Ultratapes (Smith and Nephew, Watford, England) are passed through 3 transosseous drill holes that are created from the bicipital groove to the humeral osteotomy site. One limb from the superior suture (blue) is passed through the most superior hole and one limb from the inferior suture (red) is passed through the inferior hole with a Hewson suture passer. The remaining limbs from each suture are then both passed together through the Middle hole.
