Arthroscopic Transosseous Rotator Cuff Repair

Chillemi, Claudio; Castagna, Alessandro; Osimani, Marcello

doi:10.1007/978-3-319-76153-4

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…The widely used tunnel devices create vertical and horizontal tunnels with a right angle between the limbs, and this will increase the friction and stress on the sutures at that point which may lead to cutting of the sutures at the sharp angle. [37] There are some limitations relevant to this study. This study analyzed a consecutive group of patients with a very heterogeneous distribution of rotator cuff tears with different tear sizes, tear con gurations, and tear types (traumatic versus degenerative).…”

Section: Discussionmentioning

confidence: 97%

Arthroscopic modified trans-osseous rotator cuff repair using the giant needle technique and racking hitch knot

Hafez,

Shewy,

El-Singergy

et al. 2023

Preprint

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Purpose This study analyzed the midterm functional outcomes of arthroscopic trans-osseous (TO) rotator cuff repair using special needles called giant needles. The aim of revisiting and modifying a previously described technique is to facilitate the passage of the giant needle, making it easier, and more reliable. We also enhanced the repair construct by passing the sutures through the tendon in a separate step and applying a strong racking hitch knot. Methods Sixty-two patients (41 females and 21 males with a mean age of 55.16 years) underwent arthroscopic TO rotator cuff repair for symptomatic full-thickness tears. Pre- and post-operative pain severity, the Constant Shoulder (CS) score of the affected shoulders and the subjective value of the shoulders (SSV) were recorded. Patients were followed up at 3, 6, 12, and 24 months after surgery. Results The mean pain severity improved from 8.61 preoperatively to 1.73 after two years of surgery. Similarly, the mean preoperative CS score and SSV improved from 41.29 to 88.72 and from 42.85–92.15%, respectively. We recorded two cases with postoperative stiffness and two other cases underwent arthroscopic revision of rotator repair due to traumatic cuff re-tears. Conclusion The trans-osseous modified technique with giant needle is a reliable, and safe technique yielding satisfactory midterm outcome scores. This technique combines the minimal invasive advantage of arthroscopic procedures with the cost-effectiveness and biomechanical advantages of the open TO procedures. Further comparative studies are recommended to support our results.

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Section: Discussionmentioning

confidence: 97%

Arthroscopic modified trans-osseous rotator cuff repair using the giant needle technique and racking hitch knot

Hafez,

Shewy,

El-Singergy

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Several techniques have been described in the literature for rotator cuff repair, and the most common configurations of anchors used are single row, double row, and the transosseous equivalent repairs. 3 More recently, transosseous arthroscopic systems have become available, combining the advantages of transosseous repair and arthroscopy. 4 , 5 Nevertheless, most of them are disposable one-time use systems and are not accessible in every country.…”

Section: Introductionmentioning

confidence: 99%