Arthroscopic transosseous (anchorless) rotator cuff repair

Abstract

V.

Letter to the Editor: Advantages of Arthroscopic Transosseous Suture Repair of the Rotator Cuff without the Use of Anchors

“…Matis and colleagues [4] previously described their transsoseus arthroscopical technique without the use of anchors, and Cicak et al [1] described the technique with the use of anchors, but in transosseous manner. Following the publication of these studies, manufacturers developed a significant number of specially designed devices for arthroscopis transsoseus rotator cuff repair [2,5].…”

Arthroscopic trans-osseous rotator cuff repair

“…However, failures at the medial row with a well-attached tendon on the great tuberosity have been reported with the TOE technique 12,13 . Moreover other anchor-related complications (pull out in presence of poor bone stock, greater tuberosity bone osteolysis, difficult revision, increased cost) called into question the use of anchor fixation for RC repair 14,15 . For these reasons, the best arthroscopic technique has not yet been established and open transosseous (TO) RC repair is to be considered the gold standard procedure 15 .…”

“…Moreover other anchor-related complications (pull out in presence of poor bone stock, greater tuberosity bone osteolysis, difficult revision, increased cost) called into question the use of anchor fixation for RC repair 14,15 . For these reasons, the best arthroscopic technique has not yet been established and open transosseous (TO) RC repair is to be considered the gold standard procedure 15 . As recently established, mechanical factors are at the basis of any healing process, being pressure an aspect able to positively influence the healing process 16 .…”

“…The TO technique permits to maximize the tendon footprint contact area 2 and to reduce motion at the tendon to bone interface 17 . 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 6,14,15,17-19 (Tab.…”

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

“…5 Rotator cuff repair with transosseous sutures was first described by McLaughlin. 6 Garofalo et al 7 further developed this technique for suturing the torn rotator cuff back to the greater tuberosity in an all-arthroscopic manner without the use of anchors and declared this new technique the gold standard for rotator cuff repair. We have developed a complete transosseous technique to maximize the tendon-footprint contact area and Ensure that the rotator interval portal is positioned to accommodate the guide and allow its inferior positioning.…”