All-Suture Transosseous Repair for Rotator Cuff Tear Fixation Using Medial Calcar Fixation

Aramberri-Gutiérrez, Mikel; Martínez-Menduiña, Amaia; Valencia-Mora, María; Boyle, Simon

doi:10.1016/j.eats.2015.01.001

Cited by 16 publications

(12 citation statements)

References 13 publications

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“…As there is reduced bone loss at the footprint, there is greater tendon-bone contact area for healing. 12 Mazzocca et al 13 compared the biomechanical performance of ASA with a classic solid suture anchor in cadaveric shoulders with simulated labral tears. No statistical difference was seen between the two suture anchors when assessing ultimate load to failure and displacement at ultimate failure.…”

Section: Discussionmentioning

confidence: 99%

Mid-term clinical outcome following rotator cuff repair using all-suture anchors

Dhinsa

Bhamra

Aramberri-Gutiérrez

et al. 2019

Journal of Clinical Orthopaedics and Trauma

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Background: Symptomatic rotator cuff tears can cause significant pain and functional disturbance, with associated financial ramifications. Non-surgical management should always be considered initially, however if recalcitrant to these measures surgical intervention may involve open, arthroscopic-assisted mini-open or arthroscopic rotator cuff repairs. The use of trans-osseous sutures and suture anchors has been reported with good results, with no significant differences if the repair remains intact or recurrent tears occur. The role of traditional suture anchors has been assessed clinically and biomechanically, however there have been reports of pull out, anchor material found within joint and concerns with the amount of bone loss. The all suture anchor (ASA) is proposed to address these concerns with encouraging cadaveric, biomechanical results to date. Methods: The two senior authors performed 31 arthroscopic rotator cuff repairs using ASA with a double row technique at the two study centres'. The patients were reviewed in clinic at one month, three months, 6 months and a year postoperatively. The patients were assessed with the Constant score and clinical range of motion of the shoulder in abduction, forward flexion, external rotation and internal rotation. The surgical technique and rehabilitation was the same for both surgeons. Results: At a mean follow up of 10.2 months (range 3-12 months) the mean constant score was 77.1 (range 35-90), with a mean abduction of 139.6 (range 30-180), external rotation of 43.4 (range 20-80), and internal rotation to lumbar vertebrae 3-4 (range buttock to lumbar vertebra 1). There has been one rerupture to date. Conclusions: The functional and clinical results in our study are comparable to those reported in literature using standard anchors.

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Section: Discussionmentioning

confidence: 99%

Mid-term clinical outcome following rotator cuff repair using all-suture anchors

Dhinsa

Bhamra

Aramberri-Gutiérrez

et al. 2019

Journal of Clinical Orthopaedics and Trauma

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“…Numerous dedicated instruments have been employed to create the TO tunnels into the greater tuberosity from the ACL tibial guide to different kinds of needle or tunneler devices 15,[22][23][24] . However, all the arthroscopic TO techniques described until now are complex procedures that requires several surgical steps, the creation of 2 or more TO tunnels and the use of many sutures making these procedures very difficult to reproduce and standardize 6,14,15,18,19 .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic trans-osseous rotator cuff repair

Chillemi

Mantovani²

2017

MLTJ

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SummaryBackground: Mechanical factors are at the basis of any tendon healing process, being pressure an aspect able to positively influence it. For this reason transosseous rotator cuff repair represents the gold standard procedure for patients affected by a cuff tear, maximizing the tendon footprint contact area and reducing motion at the tendon to bone interface. Methods: The Authors present an all arthroscopic suture bridge-like transosseous repair with the preparation of a single transosseous tunnel perfor med thanks to a precise dedicated instrument (Compasso®) and one implant (Elite-SPK®) with the use of only 3 suture wires. In addition this technique permits to accurately prepare the bony side of the lesion without any risk or complication, such as anchor pull-out and greater tuberosity bone osteolysis. Conclusions: However, even if this technique seems less demanding, the arthroscopic transosseous repair is still an advanced procedure, and should be performed only by well prepared arthroscopic shoulder surgeons. Level of evidence: V.

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“…In addition to this mechanical aspect, TO technique permits to accurately prepare the bony side of the lesion without any risk or complication, such as anchor pull-out and greater tuberosity bone osteolysis 15,18 . In an attempt to overcome the limitations of anchor repair, arthroscopic TO anchorless RC repair techniques have recently been developed 6,14,15,[17][18][19] (Tab. I).…”

Section: Introductionmentioning

confidence: 99%

“…Numerous dedicated instruments have been employed to create the TO tunnels into the greater tuberosity from the ACL tibial guide to different kinds of needle or tunneler de-vices 15,[22][23][24] . However, all the arthroscopic TO techniques described until now are complex procedures that requires several surgical steps, the creation of 2 or more TO tunnels and the use of many sutures making these procedures very difficult to reproduce and standardize 6,14,15,18,19 .…”

mentioning

confidence: 99%

Arthroscopic Transosseous Rotator Cuff Repair

Chillemi¹,

Castagna²,

Osimani³

2018

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Background: Mechanical factors are at the basis of any tendon healing process, being pressure an aspect able to positively influence it. For this reason transosseous rotator cuff repair represents the gold standard procedure for patients affected by a cuff tear, maximizing the tendon footprint contact area and reducing motion at the tendon to bone interface. Methods: The Authors present an all arthroscopic suture bridge-like transosseous repair with the preparation of a single transosseous tunnel perfor med thanks to a precise dedicated instrument (Compas-so®) and one implant (Elite-SPK®) with the use of only 3 suture wires. In addition this technique permits to accurately prepare the bony side of the lesion without any risk or complication, such as anchor pull-out and greater tuberosity bone osteolysis. Conclusions: However, even if this technique seems less demanding, the arthroscopic transosseous repair is still an advanced procedure, and should be performed only by well prepared arthroscopic shoulder surgeons. Level of evidence: V.

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All-Suture Transosseous Repair for Rotator Cuff Tear Fixation Using Medial Calcar Fixation

Cited by 16 publications

References 13 publications

Mid-term clinical outcome following rotator cuff repair using all-suture anchors

Mid-term clinical outcome following rotator cuff repair using all-suture anchors

Arthroscopic trans-osseous rotator cuff repair

Arthroscopic Transosseous Rotator Cuff Repair

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