Biomechanical effects of a 2 suture-pass medial inter-implant mattress on transosseous-equivalent rotator cuff repair and considerations for a “technical efficiency ratio”

Park, Maxwell C.; Peterson, Alexander B.; Patton, John; McGarry, Michelle H.; Park, Chong J.; Lee, Thay Q.

doi:10.1016/j.jse.2013.06.019

Cited by 33 publications

(34 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… 44 , 45 Furthermore, the lack of medial knots avoids the possibility of acute or chronic postoperative knot impingement within the subacromial space 26 while also decreasing operative time 46 and improving technical efficiency. 29 , 47 We have also observed new tissue growth on the suture tapes in second look arthroscopy and in postoperative magnetic resonance images, and believe this acts as a scaffold for tissue regeneration.…”

Section: Discussionmentioning

confidence: 71%

Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction

Millett

Hussain

Fritz

et al. 2017

Arthroscopy Techniques

View full text Add to dashboard Cite

Although uncommon, rotator cuff tears that occur medially at the musculotendinous junction can result from acute trauma, anatomic force imbalance, or medial row cuff failure following a previous rotator cuff repair. The quality of the torn muscle and tendon along with the length of the remnant tendon stump should be considered before deciding on the most appropriate repair technique. When muscle and tendon quality are sufficient, the tear can often be repaired directly to the remnant tendon stump and compressed onto the greater tuberosity. If the remnant tendon stump is degenerative, of insufficient length, or lacks tendon in which to place sutures, an allograft patch can be used to augment the repair. When the quality of the remaining muscle and tendon are poor or when the muscle is retracted too far medially and is nonmobile, a bridging technique such as superior capsule reconstruction is preferable. The purpose of this report is to (1) highlight that medial cuff failure can occur both primarily and after previous repair; (2) define and classify the 3 major tear patterns that are encountered, and (3) describe the authors' preferred techniques for medial cuff repair that specifically address each of the major tear patterns.

show abstract

Section: Discussionmentioning

confidence: 71%

Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction

Millett

Hussain

Fritz

et al. 2017

Arthroscopy Techniques

View full text Add to dashboard Cite

show abstract

“…However, 3 of the 4 nongrafted controls also failed at the medial cuff. It is more likely that the suture-bridging doublerow repair with tied medial knots 13 caused the medial cuff failures.…”

Section: Suture-bridge Techniquementioning

confidence: 99%

Editorial Commentary: Don't Pig Out When Selecting a Shoulder, Rotator Cuff Augmentation Graft! Xenografts Are Not the Way to Go

Barber¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

Porcine xenograft dermal onlay augmentation of rotator cuff repair does not provide improved cuff integrity or provide better clinical outcomes. The retear rate was actually higher in repairs augmented with a porcine xenograft than the control group. Adverse events occurred in 60% of the xenograft patients compared with 40% of the controls. The use of liquid platelet-rich plasma had no discernible impact. A total of 85% of the observed failures with the suture-bridging double-row repair were at the medial cuff (Cho type 2).

show abstract

“…6,7 Keeping the medial row sutures untied focuses less force at the medial fixation sites and allows a pulley action that might mitigate the negative clinical effects inherent to the TOE-SB-DR repair. 8 The absence of medial "spot welds" created by the knotted sutures allows the medial tendon to "float" distributing the load more uniformly over the repaired tendon.…”

Section: See Related Article On Page 242mentioning

confidence: 99%

Editorial Commentary: Musculotendinous Junction Mattress Sutures Are Inefficient

Barber¹

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

show abstract

Biomechanical effects of a 2 suture-pass medial inter-implant mattress on transosseous-equivalent rotator cuff repair and considerations for a “technical efficiency ratio”

Cited by 33 publications

References 35 publications

Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction

Rotator Cuff Tears at the Musculotendinous Junction: Classification and Surgical Options for Repair and Reconstruction

Editorial Commentary: Don't Pig Out When Selecting a Shoulder, Rotator Cuff Augmentation Graft! Xenografts Are Not the Way to Go

Editorial Commentary: Musculotendinous Junction Mattress Sutures Are Inefficient

Contact Info

Product

Resources

About