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

Clinical and functional outcomes of a novel transosseous device to treat rotator cuff tears: A minimum 2-year follow-up

“…Also, the experimental evidence of study was that by avoiding a direct impingement, they significantly reduce the gap formation during the test of this present transosseous device. 6 In our experience with this device, we restored a wide footprint and minimized gap formation, and there were no symptoms of impingement in our patients after surgery at a mean follow-up of 28.31 + 3.03 (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) months.…”

“…26 On the other hand, the restrictive aspect of conventional transosseous repair is the risk of tearing the cortical part of the lateral border of the tunnel. 30,31 In our first clinical study on this new transosseous device with deltoid-splitting rotator cuff repair, there were no complications such as re-tear, rupture of the lateral cortex, or impingement affecting small, medium, large, or massive tears.…”

Advantages of Arthroscopic Rotator Cuff Repair With a Transosseous Suture Technique: A Prospective Randomized Controlled Trial

“…28 The limitations of transosseous repair include (1) longer surgery time; (2) need for surgeons who are very experienced in shoulder arthroscopic techniques; and (3) risk of rupture of the cortical component of the tunnel's lateral margin, especially in elderly patients with osteoporosis. 4,10 Black et al 7 demonstrated this limitation in 2 patients, from a group of 31, who had intraoperative rupture of the lateral margin of the tunnel. The longer surgery time could be a consequence of the learning curve in guide use, 2 so surgery time could decrease in the future.…”

“…The main limitations of the anchor procedure are: 1) difficulty of re-operation due to the presence of anchors in the greater tuberosity; 2) possible mobilization of the anchors; 3) anchor impingement in abduction movements; and 4) implant costs. 27 On the other hand, the limitations of transosseous repair are: 1) longer surgery time; 2) need for surgeons who are very experienced in shoulder arthroscopic techniques; and 3) risk of rupture of the cortical component of the tunnel's lateral margin, especially in elderly osteoporotic patients 4,9 . Black et al 6 evidenced this limitation in two patients, out of a group of 31, who had intraoperative rupture of the lateral margin of the tunnel.…”

Rotator manşet onarımında İki farklı tekniğinin fonksiyonel ve klinik sonuçlarının karşılaştırmalı olarak incelenmesi: sütür ankor ve transosseöz Sharc-FT.

“…In addition, the cost of multiple anchors is high, and displacement of the anchors may cause osteolysis of the large tubercle and lead to the anchors hitting the shoulder joint (31). On the other hand, the restrictive aspect of conventional transosseous repair is the risk of tearing the cortical portion of the lateral edge of the tunnel (32,33). There are limited studies comparing transosseous repair with suture anchors clinically.…”