Arthroscopic Rotator Cuff Repair Techniques Research Articles

Suture anchors in arthroscopic rotator cuff repair

The use of suture anchors in shoulder surgery has facilitated the rapid advancement of arthroscopic rotator cuff repair techniques. Innumerable anchor types have been developed which allow stronger, rapid, more effective arthroscopic rotator cuff repairs. Abundant research has been performed to maximize the efficacy of suture anchors in arthroscopic rotator cuff repair. This article reviews the literature regarding implant designs, technical considerations, clinical results, and complications of suture anchors in the arthroscopic treatment of rotator cuff tears.

Mattress double anchor footprint repair: A novel, arthroscopic rotator cuff repair technique

<h3>Abstract</h3> In an effort to increase the immediate strength of a rotator cuff repair and to simulate the standard open reconstruction with its effective suture fixation, we have developed a novel technique for suture anchor reconstruction of the rotator cuff. The technique, termed mattress double anchor (MDA), is simple and adaptable. It makes use of 2 suture anchors that are placed independently and then connected by a suture loop. The technique produces a repair construct that distributes the stress across 2 anchors. The method also restores a large surface area for healing between the rotator cuff and the tuberosity.

Mattress double anchor footprint repair: a novel, arthroscopic rotator cuff repair technique.

In an effort to increase the immediate strength of a rotator cuff repair and to simulate the standard open reconstruction with its effective suture fixation, we have developed a novel technique for suture anchor reconstruction of the rotator cuff. The technique, termed mattress double anchor (MDA), is simple and adaptable. It makes use of 2 suture anchors that are placed independently and then connected by a suture loop. The technique produces a repair construct that distributes the stress across 2 anchors. The method also restores a large surface area for healing between the rotator cuff and the tuberosity.

Arthroscopic rotator cuff repair: 4- to 10-year results

Purpose: The purpose of this article is to report the 4- to 10-year results of arthroscopic repair of full- thickness rotator cuff tears. Type of Study: This is a retrospective study evaluating a series of arthroscopic rotator cuff repairs performed by a single surgeon from February 1990 to February 1996. Methods: Retrospective chart reviews and telephone interviews were performed to evaluate the results of arthroscopic repair of rotator cuff tears. Results were evaluated using a modified University of California, Los Angeles (UCLA), shoulder scoring system. Results: One-hundred five arthroscopic rotator cuff repairs were performed in 104 patients between February 1990 and February 1996. Of these, 95 patients (96 shoulders) were available for follow-up evaluation at the time of this review. The mean UCLA score of all shoulders involved was 32. Fifty-one patients showed excellent results; 39, good; 2, fair; and 4, poor according to the modified UCLA scoring system. In no case was any loss of motion noted as a result of the surgical intervention. Conclusions: This retrospective study is the largest series of arthroscopic rotator cuff repairs with the longest period of follow-up thus far reported. Of the patients available for follow-up evaluation, 94% of patients qualified as a good to excellent result according to the UCLA shoulder scoring system. This study shows that patients treated with this arthroscopic rotator cuff repair technique have maintained excellent clinical outcomes 4 to 10 years after surgery. Level of Evidence: Level IV.

Arthroscopic transhumeral rotator cuff repair: Giant needle technique

An arthroscopic transhumeral rotator cuff repair technique is presented with which the same type of cuff repair can be performed as with an open standard procedure. After adequate arthroscopic subacromial decompression, a bone trough is made on the greater tuberosity and a hole is punctured with a sharp hook. A special bone-cutting needle with a suture (giant needle) is then passed through the skin and deltoid muscle in front of the acromion, through the torn tendon, the hole in the trough, and out through the lateral cortical surface through the deltoid and skin. The suture limbs are pulled out through the instrumentation portal and a sliding knot is made to close the defect. No hardware implants are used and the procedure is not technically complicated. During surgery only two thirds of the steps used for open repair were required. With experience, a large tear was repaired as well as with an open repair. The advantages of this technique are that the strength of cuff fixation does not rely on the quality of the bone in the greater tuberosity, there is no need for complicated suture passing techniques through the rotator cuff, and it offers the same fixation technique as the traditional open repair.Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 18, No 2 (February), 2002: pp 218–223

Arthroscopic Rotator Cuff Repair

Rotator cuff repair is one of the most common surgical procedures done in the shoulder. Traditionally, repair has required an open incision with release of a portion of the deltoid from the acromion. In the past decade, an arthroscopically-assisted, mini-open approach has gained popularity. This has been facilitated by advances in the use of arthroscopy. This trend toward a more minimally invasive approach has continued as arthroscopic techniques continue to improve and advance. An all-arthroscopic approach recently has been used for rotator cuff repairs. The arthroscopic approach offers several advantages including smaller incisions, easy access to the glenohumeral joint for treatment of intraarticular diseases, less soft tissue dissection, and less potential harm to the deltoid. The purpose of the current study is to discuss recent advances in arthroscopic and mini-open rotator cuff repair techniques and to highlight the technical aspects of the mini-open procedures that are important in making the transition to an allarthroscopic rotator cuff repair.

Correction of the attritional boutonnière deformity in high ulnar-nerve paralysis.

Arthroscopic instability and rotator cuff repair techniques have rapidly evolved over the past decade with expanding indications; however, there has been a corresponding increase in complications. Careful attention to detail and patient selection will result in satisfactory outcomes for most patients.