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

Randelli, Pietro; Stoppani, Carlo; Zaolino, Carlo; Menon, Alessandra; Randelli, Filippo; Cabitza, Paolo

doi:10.1177/0363546517695789

Cited by 54 publications

(51 citation statements)

References 56 publications

(110 reference statements)

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“…Suture cut-thorough of bone was only exceptionally observed 2, 7. Randelli et al 14 . demonstrated for the first time in a randomized double blind clinical trial comparing arthroscopic anchorless transosseous versus anchored single-row repair similar results regarding magnetic resonance imaging–assessed tendon healing (87% vs 88% Sugaya type I-III 1 year after surgery) and shoulder function assessed by Constant score, QuickDASH, and pain score.…”

Section: Discussionmentioning

confidence: 91%

Arthroscopic Transosseous Anchorless Rotator Cuff Repair Using the X-Box Technique

Steinitz

Buxbaumer

Hackl³

et al. 2019

Arthroscopy Techniques

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We describe a reproducible, step-by-step arthroscopic technique for anchorless transosseous rotator cuff repair using an X-box configuration with the Arthrotunneler device. The technique uses 2 bone tunnels and 4 high-strength sutures and is suitable for medium to large tears of the supra- and infraspinatus that would alternatively need a double-row repair with 4 anchors. Biomechanically, results appear to be similar as for anchored transosseous equivalent techniques. Enhanced biological healing and lower material costs are the possible benefits of this appealing arthroscopic approach that mimics the previous gold standard.

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Section: Discussionmentioning

confidence: 91%

Arthroscopic Transosseous Anchorless Rotator Cuff Repair Using the X-Box Technique

Steinitz

Buxbaumer

Hackl³

et al. 2019

Arthroscopy Techniques

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“…In a cadaver study conducted by Kilcoyne et al in 2017, transosseous repair was noted to be superior to other techniques in the miniopen treatment method (22). Recently, arthroscopic studies have shown that transosseous repair provides good functional results (23)(24)(25). In 2016, Flanagin et al published the successful mid-term results of transosseous repair in 109 patients (24).…”

Section: Discussionmentioning

confidence: 99%

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

Karaduman¹,

Arıcan²,

Turhal³

et al. 2020

Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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“…Since April 2015, we have used PGA threads for mattress sutures to gain the initial cuff securing force and avoid excessive tension on the rotator cuff. In addition to our method, other methods for arthroscopic transosseous repair of the rotator cuff without implant using an ArthroTunneler [5][6][7][8][9][10] , hollow needle [11][12][13] , special equipment [14][15] , and anterior cruciate ligament guide [16] have been reported. However, there have been on 4 reports describing clinical outcomes from arthroscopic transosseous repair of the rotator cuff without implant in more than 50 patients [1,10,11,13] .…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Transosseous Suture Without Implant for Rotator Cuff Tears: Absorbable Mattress Sutures Versus Non-Absorbable Sutures

Kuroda

Ishige

Ogino

et al. 2019

International Journal of Orthopaedics

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AIM: In 2005, we developed an anchorless technique for arthroscopic transosseous rotator cuff repair without implant. We aimed to clarify the differences in clinical outcomes and retear rates between patients receiving absorbable mattress sutures and those receiving non-absorbable sutures. MATERIALS AND METHODS: In this retrospective cohort study, we analyzed 131 cases in which absorbable mattress sutures were used and 384 cases in which only non-absorbable sutures were used. Three 2-mm Kirshner wires with perforated tips were inserted through the inferior margin of the greater tuberosity into the medial edge of the footprint. After pulling the rotator cuff stump laterally, 3 Kirshner wires were threaded through the rotator cuff and skin. Five threads were passed through 3 bone tunnels using the perforated tips of the Kirshner wires. The surgery was completed by inserting 2 mattress sutures and 3 bridging sutures. In addition to retear rates, the surgical cost of other transosseous methods was investigated. RESULTS: The retear rate was 3.1% using absorbable mattress sutures and 6% using non-absorbable suture only. It was 12% using the hollow needle method and 3.7% using the ArthroTunneler method. The surgical cost was $9-12 for our procedure, $121 for the hollow needle method, and $600 for the ArthroTunneler method. CONCLUSIONS: We found that using absorbable thread for mattress sutures reduced the retear rate. A big advantage of our technique is that it is inexpensive because the only surgical materials required are suture threads.

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

Cited by 54 publications

References 56 publications

Arthroscopic Transosseous Anchorless Rotator Cuff Repair Using the X-Box Technique

Arthroscopic Transosseous Anchorless Rotator Cuff Repair Using the X-Box Technique

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

Arthroscopic Transosseous Suture Without Implant for Rotator Cuff Tears: Absorbable Mattress Sutures Versus Non-Absorbable Sutures

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