"Transosseous-equivalent" rotator cuff repair technique.
In order to optimize healing biology at a repaired rotator cuff footprint, we have developed a "transosseous-equivalent" rotator cuff repair that can be performed arthroscopically. What the arthroscopically repaired tendon experiences is "equivalent" to what is experienced with a traditional open suture-bridge technique. This repair maximizes the utility of a single-row repair technique by preserving the suture limbs of the medial single-row and bridging these sutures over the footprint insertion with distal-lateral interference screw suture fixation; the medial row uses a mattress suture configuration. The geometry of the construct compresses the tendon, optimizing tendon-to-tuberosity contact dimensions, while providing strength sufficient to withstand immediate postoperative rehabilitation.
Park
Maxwell C
MC
Department of Orthopaedic Surgery, Southern California Permanente Medical Group, Woodland Hills Medical Center, Los Angeles, California 91365, USA. mcp16@columbia.edu
Elattrache
Neal S
NS
Ahmad
Christopher S
CS
Tibone
James E
JE
D001182:Arthroscopy / Q000379:methods; D006801:Humans; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D012785:Shoulder Joint / Q000601:surgery*; D013536:Suture Techniques