Completion repair exhibits increased healing characteristics compared with in situ repair of partial thickness bursal rotator cuff tears

Gereli, Arel; Kocaoğlu, Barış; Ülkü, Tekin Kerem; Silay, Sena; Kilinc, Evren; Uslu, Serap; Nalbantoğlu, Ufuk

doi:10.1007/s00167-018-4870-1

Cited by 12 publications

(21 citation statements)

References 25 publications

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“…Interestingly, there have been studies on live animals that seem to show that tear completion and repair of partial-thickness rotator cuff tears provide better healing compared with in situ repair, in rabbits 30 and in rats. 31 We believe that the technique described here represents a reproducible and effective method in addressing small rotator cuff tears in which the bony footprint of the tendon is small, not visible at all, or covered with remnant tendon, and hence medial row anchors are not required. The use of a single lateral row repair technique often requires a mattress suture configuration, which can sometimes cause suture cutouts in degenerated tendons.…”

Section: Discussionmentioning

confidence: 89%

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Cheow

Lie

2021

Arthroscopy Techniques

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Small symptomatic rotator cuff tears are a common problem seen by orthopaedic surgeons. Arthroscopic repair has been shown to have favorable outcomes for these lesions. There is as yet no consensus on the ideal technique for the arthroscopic repair of small rotator cuff tears. We present a single lateral row technique for the repair of such lesions, which we believe to be reproducible and effective, that achieves good approximation of the tear while reducing the chance of suture cutouts.

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Section: Discussionmentioning

confidence: 89%

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Cheow

Lie

2021

Arthroscopy Techniques

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“…This method is convenient and easily mastered by most surgeons [ 20 ]. In addition, animal experiments have shown that full-thickness suturing has better outcomes than in situ repair, which may be related to the more thorough debridement that is done in full-thickness suturing [ 21 ]. However, Jordan et al reviewed and summarized the clinical efficacy of these two methods and concluded that the trans-tendon technique resulted in more obvious pain and motion limitations at the early stage of recovery, although both methods eventually achieved satisfactory clinical efficacy [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of threading lasso fixation in repairing partial articular supraspinatus tendon avulsion lesions: a retrospective study

Chen

Xiao

Wang

2021

BMC Musculoskelet Disord

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Background The partial articular supraspinatus tendon avulsion (PASTA) lesion repair remains a topic of debate. We have performed in situ repair of PASTA lesions using a potentially viable threading lasso fixation technique. This retrospective case series aimed to evaluate the clinical outcomes of PASTA lesion repair using threading lasso fixation. To the best of our knowledge, this is the first study to review this technique and its outcomes in terms of pain and upper extremity function. Methods Twenty-five patients with PASTA lesions who were treated with threading lasso fixation were reviewed. All patients were followed up for at least 1 year. Preoperative and follow-up data were retrospectively collected and reviewed. Clinical outcomes were assessed to evaluate the efficacy of the surgery. Results There were no postoperative complications. The average follow-up period was 25.7 (22–27) months. At the last follow-up, all patients underwent follow-up magnetic resonance imaging; only two cases showed a partially healed tendon and no case converted to full-thickness tear. Furthermore, shoulder pain decreased and mobility was recovered, with statistically significant differences in all scoring measures. Specifically, the mean visual analog scale score decreased from 5.4 ± 1.2 before surgery to 1.1 ± 0.8 at the last follow-up (t = 14.908, P < 0.01), and the mean American Shoulder and Elbow Surgeons Shoulder Assessment Form score improved significantly from 51.6 ± 6.4 to 89.3 ± 5.2 (t = 22.859, P < 0.01). Additionally, the mean University of California Los Angeles score improved from 17.8 ± 3.5 preoperatively to 32.3 ± 1.4 (t = 19.233, P < 0.01). Conclusions Arthroscopic repair using threading lasso fixation is a novel transtendinous technique for patients with partial articular supraspinatus tendon avulsion. Tendon integrity is preserved with this method, which may result in improved function. Overall, threading lasso fixation technique is an effective treatment.

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“… 10 In contrast, evidence of the potential for superior biological healing after TCR versus TTR has been observed via published animal models. 14 Regardless of the chosen technique, the involved tendon should be adequately debrided of degenerative tissue before repair is attempted.…”

Section: Discussionmentioning

confidence: 99%

“Ninja Technique” for Percutaneous Completion of Partial-Thickness, Articular-Sided Rotator Cuff Tears

Sacksteder

Field

2021

Arthroscopy Techniques

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Rotator cuff tears are a common source of shoulder pain and dysfunction. Owing to the multifaceted nature of these injuries, various viable methodologies exist for their surgical and nonsurgical management. Among surgically managed patients, those with PASTA (partial articular supraspinatus tendon avulsion) lesions require careful consideration of technique. Both transtendinous repair and tear completion with subsequent repair have been described. Both techniques offer unique benefits. In this publication, we offer an expedient and minimally invasive technique for tear completion and subsequent repair. The "ninja technique" uses localization via a spinal needle and tear completion with an arthroscopically manipulated scalpel blade. Conversion of partial tears to full-thickness tears using the ninja technique allows for technically simplified repairs while maximizing available tendon length.

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Completion repair exhibits increased healing characteristics compared with in situ repair of partial thickness bursal rotator cuff tears

Cited by 12 publications

References 25 publications

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Arthroscopic Single Lateral Row Repair Technique for Small Rotator Cuff Tears

Efficacy of threading lasso fixation in repairing partial articular supraspinatus tendon avulsion lesions: a retrospective study

“Ninja Technique” for Percutaneous Completion of Partial-Thickness, Articular-Sided Rotator Cuff Tears

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