Abstract
This paper will present the technique for a novel suture anchor configuration used in the management of rotator cuff tears. The senior author (MR) developed this technique, involving single-row cruciate sutures, to increase the footprint contact surface area while creating a desirable tensile pressure between the suture and tendon. Biomechanical studies of this technique have demonstrated a mean footprint contact area of 253mm2 while maintaining a contact pressure of 0.78Mo. In addition to its biomechanical validity, this simple configuration is easy to master, amenable to healing and not prone to cut out. The use of a single-row anchor also decreases the comparable cost with double-row techniques.
Highlights
Options for surgical management of rotator cuff disease include: subacromial decompression and bursectomy, debridement of partial tears and surgical repair of partial or full thickness tears
While many factors influence the outcome of rotator cuff surgery, the most common complication is structural failure of the tendon repair [1]
Arthroscopic or mini-open evaluation of rotator cuff tears deemed to be appropriate for repair with the use of suture anchors
Summary
Options for surgical management of rotator cuff disease include: subacromial decompression and bursectomy, debridement of partial tears and surgical repair of partial or full thickness tears. The standard technique for a repairable rotator cuff tear involves suture anchor placement into an osseous bed prepared in the humeral tuberosity, with a variety of different options for suture configuration. Arthroscopic or mini-open evaluation of rotator cuff tears deemed to be appropriate for repair with the use of suture anchors. Two side by side single row cruciate sutures can be placed (Figure 6). Standard closure techniques are performed and post operatively the patient is placed into a broad arm sling. This operation can be performed as a day or overnight stay procedure. Pendulum activities are encouraged for the first 4-6 weeks, followed by a graduated return to function and physiotherapy-led rehabilitation program
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