Double row rotator cuff repair

How successful is rotator cuff surgery? Does rotator cuff arthroscopy restore full shoulder function? What are the options for rotator cuff surgery? Is rotator cuff surgery outpatient?

If you had a nerve block during surgery, the local anesthetic may keep your shoulder numb for several hours.

Here is a simple and quick technique, which does not involve any arthroscopic knot-tying and reduces operative time. Double Row Cuff Technique. Suture management is the key. Click Here for online presentation.

Arthroscopic double-row rotator cuff repair is a structure that utilizes two rows of anchors, one being medial and the other being lateral, in order to provide better anatomical footprint restoration (Figure 1). In order for the repair structure to not lead to excessive tension, the surgeon should first free and mobilize the torn tendon and ensure that the tendon can reach the lateral side of the tuberculum majus. In double rotator cuff surgery the two sets of fiber tape are crisscrossed over top of the rotator cuff tissue and secured to the bone with additional anchors.

This is called a lateral row. The result is a quick, secure and low profile repair with maximized contact between tendon and bone. Grasso A, Milano G, Salvatore M, Falcone G, Deriu L, Fabbriciani C. Single- row versus double - row arthroscopic rotator cuff repair : A prospective randomized clinical study.

Sugaya H, Maeda K, Matsuki K, Moriishi J. Implementation of both techniques during arthroscopic shoulder surgery may represent a technical challenge for the average orthopaedist. In order to improve the coverage area of the insertional footprint of the rotator cuff and decrease the chances of a rupture, a new arthroscopic repair technique with anchors was developed – the double row method. Naturally repair rotator cuff injuries in weeks or less! A review of the literature. There has been an increased interest by arthroscopic shoulder surgeons in double row rotator cuff repairs in light of a flurry of publications on the biomechanical effects.

Here I have summarised the of these publications in a comparative table. Surgical management of RC tears is recommended after conservative treatment failure. Due to the development of arthroscopic repair techniques, the use of the arthroscopic rotator cuff repair has become the gold standard. Single- row (SR) and double - row (DR) suture anchor repairs are the two most popular and.

In the double - row repair rows of anchors are placed.

First, a row of anchors (usually 2) are placed near the cartilage of the humeral head and sutures are passed through the rotator cuff. Indee several biomechanical studies showed that the bone-tendon contact area of double - row rotator cuff repair is significantly greater than that achieved with a single- row technique and even with transosseous repair. Regarding fixation strength, most of the biomechanical studies showed that double - row fixation has better mechanical properties than those of single- row and transosseous sutures in terms of cyclic displacement, gap formation, and failure load. Our platform of implants and instrumentation is designed to offer unique solutions to address the complexities of both single and double row repair providing value and enabling a range of surgical techniques.

A follow-up study by Park et al. Learn causes right now. Rotator Cuff Tears can be incredibly debilitating.