Tendon-grasping strength of various suture configurations for rotator cuff repair

Hapa, Onur; Barber, F. Alan; Sünbüloğlu, Emin; Kocabey, Yavuz; Sarkalkan, Nazlı; Baysal, Gokhan

doi:10.1007/s00167-010-1322-y

Cited by 19 publications

(24 citation statements)

References 36 publications

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“…The subscapularis tendon was repaired using a Mason–Allen suture technique with 0 Ethibond suture (Arthrex, Inc., Naples, FL). This suture technique was chosen based on previous studies regarding gapping and biomechanical strength of various rotator cuff suture repair techniques . This grasping stitch has been reported to have favorable results in minimizing gap formation and cyclic failure after rotator cuff repair .…”

Section: Methodsmentioning

confidence: 99%

“…This suture technique was chosen based on previous studies regarding gapping and biomechanical strength of various rotator cuff suture repair techniques. [24][25][26][27] This grasping stitch has been reported to have favorable results in minimizing gap formation and cyclic failure after rotator cuff repair. 25,27 The repair was performed with the forearm directly anterior in neutral rotation, the same position that the arm was in for the subscapularis tenotomy.…”

Section: Methodsmentioning

confidence: 99%

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Patterns of strain and the determination of the safe arc of motion after subscapularis repair—A biomechanical study

Knesek

Brunfeldt

Korenczuk

et al. 2015

Journal Orthopaedic Research

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This study characterizes the strain patterns and safe arcs for passive range of motion (ROM) in the superior and inferior subscapularis tendon in seven cadaveric shoulders, mounted for controlled ROM, after deltopectoral approach to the glenohumeral joint, including tenotomy of the subscapularis tendon 1 cm medial to its insertion on the lesser tuberosity. The tenotomy was repaired with end-to-end suture in neutral rotation. Strain patterns were measured during passive ROM in external rotation (ER), ER with 30å bduction (ERþ30), abduction, and forward flexion in the scapular plane (SP) before and after surgery. Percentages were calculated from 35 trials corresponding to five trials of each motion across seven specimens. With ER of 0À30˚, 89% of trials of superior subscapularis tendon and 100% of trials of inferior subscapularis tendon achieved strains >3%, with very similar patterns noted in ERþ30. In abduction of 0À90˚, 5.8% of trials of superior and 85.3% of trials of inferior tendon achieved >3% strain. With passive ROM in SP, 26.5% of trials reached 3% strain in superior tendon compared to 100% in inferior tendon. Strain patterns in abduction and SP differed significantly (p < 0.001). Selective tenotomy and repair of the superior subscapularis tendon with open reparative or reconstructive shoulder procedures, when feasible, may be favorable for protected early passive ROM and rehabilitation postoperatively.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Patterns of strain and the determination of the safe arc of motion after subscapularis repair—A biomechanical study

Knesek

Brunfeldt

Korenczuk

et al. 2015

Journal Orthopaedic Research

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“…79 In single-row comparisons, most studies have shown that techniques that include an anterior to posterior stitch that is spanned by a medial to lateral stitch, such as the rip-stop, massive cuff stitch, lasso loop, and modified Mason-Allen outperform simple and mattress repair constructs. 48,67,85,93,95,105 In double-row techniques, the main comparisons are between traditional double-row techniques and transosseous equivalent techniques. These studies have failed to demonstrate a consistent biomechanical advantage of one technique over the other within the doublerow group regarding contact area, contact pressure, gap formation, or stiffness.…”

Section: Suture Techniquesmentioning

confidence: 99%

Current concepts in the evolution of arthroscopic rotator cuff repair

Tokish

Hawkins²

2021

JSES Reviews, Reports, and Techniques

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Arthroscopic rotator cuff repair has become one of the most common and successful surgeries performed in orthopedics. It represents the culmination of advances in many diverse fields such as optics, fluid dynamics, mechanical engineering, and most recently, orthobiologics. This article reviews the current state of the art of arthroscopic rotator cuff repair, through the lens of its historical context and evolution to our present understanding. We review the limitations in the current approach, and glance toward the future of rotator cuff regeneration with emerging technologies.

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“…Las configuraciones más complejas, como la utilización de puntos de colchonero horizontales o los puntos de tipo Masson-Allen modificado, son más adecuados para asegurar una correcta fijación del tendón al hueso ( fig. 4) 39 . Aunque biomecánicamente más estables 40 , las configuraciones en «doble hilera» no siempre son posibles o está indicada su realización.…”

Section: Consideraciones Generalesunclassified

Reparación artroscópica de las roturas del manguito rotador

Ibán

Expósito

Heredia

et al. 2014

Revista Española de Artroscopia y Cirugía Articular

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Cómo citar este artículo: Ruiz Ibán MÁ, et al. Reparación artroscópica de las roturas del manguito rotador. Rev Esp Artrosc Cir Articul. 2015. http://dx.información del artículo Historia del artículo: Recibido el 20 de octubre de 2014 Aceptado el 16 de diciembre de 2014 On-line el xxx Palabras clave: Manguito rotador Reparación Artroscopia r e s u m e n La reparación artroscópica de los trastornos del manguito rotador es un procedimiento téc-nicamente exigente pero exitoso. Las claves para un buen resultado son la combinación de una indicación adecuada, una buena técnica y un estricto protocolo de rehabilitación. El manejo terapéutico de las lesiones debe ser evaluado teniendo en cuenta las consideraciones personales, anatómicas y biológicas.Durante el procedimiento artroscópico el primer paso es identificar el patrón de la lesión y definir la estrategia para su reparación. Tras esto el cirujano debe preparar la huella de la inserción del manguito y usar una técnica de reparación que mejore el contacto tendón-hueso. Es fundamental conseguir una reparación libre de tensión, con liberaciones de tendón si fuese necesario.En el postoperatorio es esencial un protocolo que proteja la reparación tendinosa y a su vez evite la rigidez. a b s t r a c tArthroscopic repair of rotator cuff disorders is a technically demanding, but successful procedure. The main keys to success are a combination of proper indication, good technique, and an adequate rehabilitation protocol. The tears should be evaluated for reparability, taking into account personal, anatomical, and biological considerations. * Autor para correspondencia.Correo electrónico: drmri@hotmail.com (M.Á. Ruiz Ibán). http://dx.

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Tendon-grasping strength of various suture configurations for rotator cuff repair

Abstract: Conventional Mason-Allen configuration can be applied with double-loaded suture anchor safely. Recent modifications of the configurations offer no biomechanical advantage.

Cited by 19 publications

References 36 publications

Patterns of strain and the determination of the safe arc of motion after subscapularis repair—A biomechanical study

Patterns of strain and the determination of the safe arc of motion after subscapularis repair—A biomechanical study

Current concepts in the evolution of arthroscopic rotator cuff repair

Reparación artroscópica de las roturas del manguito rotador

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