Arthroscopic Double-Layer Lasso Loop Technique to Repair Delaminated Rotator Cuff Tears

Opsomer, Gaëtan; Gupta, Ashish; Haeni, David; Schubert, Thomas; Lejeune, Etienne; Petkin, Kalojan; Maharaj, Jashint; Lafosse, Laurent

doi:10.1016/j.arthro.2018.06.024

Cited by 17 publications

(30 citation statements)

References 47 publications

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“…Boileau et al [ 8 ] and Flurin et al [ 7 ] reported that delaminated rotator cuff tear is a negative prognostic factor. In the recent literature, however, good clinical results have been reported after delaminated rotator cuff repair ( Table 3 ) [ 9 , 10 , 18 , 41 , 42 ].…”

Section: Clinical Outcomementioning

confidence: 99%

Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment

Kim

Jung

2019

Clin Shoulder Elbow

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Delaminated rotator cuff tear pertains to the horizontal split of the tendon substance. As reported previously, the presence of a delaminated tear and incidence of delaminated rotator cuff tear ranges from 38% to 92%. The different strain intensities applied across the rotator cuff tendon, and the shear stress between the bursal and articular layers seem to play a role in its pathogenesis. In a delaminated rotator cuff tear, the degree and direction of retraction between two layers differ, with accompanying intrasubstance cleavage. A surgeon therefore needs to consider and carefully evaluate the tear characteristics when repairing delaminated rotator cuff tear. Delaminated rotator cuff tear is considered to be a poor prognostic factor after rotator cuff repair, but numerous surgical repair techniques have been introduced and applied to resolve this problem. Recent literature has reported good clinical outcomes after delaminated rotator cuff repair.

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Section: Clinical Outcomementioning

confidence: 99%

Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment

Kim

Jung

2019

Clin Shoulder Elbow

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“…Studies have confirmed that the locking suture can improve the success rate of the torn rotator cuff repair without an obvious degeneration or poor quality. 4,7,12 However, the reported techniques of locking stitches increase procedure length and difficulty, which limits their application. The Chinese knot stitch technique can be accomplished using conventional shoulder suture tools.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, it has included a variety of locking sutures, such as the double-locked stitch, 2 the simple cow hitch stitch, 3 the "parachute" technique, 4 the double-row rip-stop technique, 5 the shoelace technique, 6 and the double-layer lasso loop technique. 7 For rotator cuff tears with degeneration or poor tendon quality, some studies have shown that the application of various locking ring sutures can decrease failure rate and prevent the rotator cuff from being re-torn during suture. 8 However, different suture methods have different biomechanics.…”

mentioning

confidence: 99%

The Chinese Knot Stitch Technique Using a Footprint Ultrasuture Anchor for Rotator Cuff Repair

Zheng

Xiao

Deng

et al. 2020

Arthroscopy Techniques

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Management of the rotator cuff presents specific challenges to orthopaedic surgeons. Several locking suture methods have been reported but often fail for a number of reasons. We describe a different technique that is easy to perform and inspired by the Chinese knot, an arthroscopic double-locking suture using a footprint ultrasuture anchor. This technique is similar to the suture-bridge structure on the bursal side of the tendon in that it increases tissue grip and stabilizes initial tendon-to-bone fixation. This technique is especially suitable for the patients who have bursal-side partialthickness or degenerative small-and medium-sized rotator cuff tears.

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“…There is an ongoing debate regarding whether the articular layer is a real articular layer of the supraspinatus or infraspinatus, a superior capsule complementing the rotator cuff insertion, or a rotator cable 2, 3, 8, 9. Regardless of its anatomic definition, the restoration of both the articular and bursal layers onto the footprint with consideration of the retraction pattern and repair tension of each layer is believed to be of most importance to preserve structural integrity after cuff repair 10, 11, 12, 13, 14…”

Section: Introductionmentioning

confidence: 99%

“…Several reports have suggested that the presence of delaminated tears was a negative prognostic factor in functional and radiologic results after rotator cuff repair 4, 5, 12. To improve outcomes after the repair of delaminated rotator cuff tears, numerous techniques of suturing each laminated layer separately have been introduced 11, 15, 16, 17. The purpose of this report is to describe our preferred technique of anatomic repair of both layers of delaminated rotator cuff tears separately in a knotless transosseous equivalent technique while securing the articular layer with cinch sutures to provide additional stability.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Knotless Separate Layer Transosseous Equivalent Repair of Delaminated Rotator Cuff Tears

Büyükdoğan

Koyuncu

Eren

et al. 2019

Arthroscopy Techniques

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Delamination of rotator cuff tears presents a challenge for surgeons. Recognizing and repairing such a complex tear pattern often require innovative approaches to achieve an anatomic restoration of footprint. In this Technical Note, we described our preferred method that anatomically repairs both layers of delaminated rotator cuff tear separately in a knotless transosseous equivalent technique. Two sutures are placed to the articular layer in a cinch stitch configuration. Then, closed-loop end sutures are passed through both layers while keeping the closed-loop end at the working portal. The free ends of cinch stitches are loaded to anchors with a preloaded fiber tape loop, which is placed to the medial row while approximating the articular layer onto its footprint. Fiber tapes are then shuttled through both layers of tendon with the help of a previously placed closed-loop suture. Finally, the lateral row anchors are placed while fiber tapes are tensioned in a cross-bridge configuration. We believe that this technique may facilitate uneventful healing of delaminated rotator cuffs by providing the biomechanical properties of transosseous equivalent repair.

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Arthroscopic Double-Layer Lasso Loop Technique to Repair Delaminated Rotator Cuff Tears

Cited by 17 publications

References 47 publications

Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment

Delaminated Rotator Cuff Tear: Concurrent Concept and Treatment

The Chinese Knot Stitch Technique Using a Footprint Ultrasuture Anchor for Rotator Cuff Repair

Arthroscopic Knotless Separate Layer Transosseous Equivalent Repair of Delaminated Rotator Cuff Tears

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