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Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair

Although open transosseous repair was historically used as a gold-standard surgical solution for rotator cuff tears, this procedure was largely replaced by anchor-based techniques because of the advancement of arthroscopic surgery. However, the ability of anchor-based repair to achieve similar biome...

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Detalles Bibliográficos
Autores principales: Atoun, Ehud, Kane, Liam T., Abboud, Joseph A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993199/
https://www.ncbi.nlm.nih.gov/pubmed/32021775
http://dx.doi.org/10.1016/j.eats.2019.09.004
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author Atoun, Ehud
Kane, Liam T.
Abboud, Joseph A.
author_facet Atoun, Ehud
Kane, Liam T.
Abboud, Joseph A.
author_sort Atoun, Ehud
collection PubMed
description Although open transosseous repair was historically used as a gold-standard surgical solution for rotator cuff tears, this procedure was largely replaced by anchor-based techniques because of the advancement of arthroscopic surgery. However, the ability of anchor-based repair to achieve similar biomechanical fixation remains uncertain. Despite the proposals of numerous methods over the last decade, there remains demand for a standard, reliable technique that integrates the biomechanical advantages of transosseous fixation within the realm of arthroscopy. We describe a technique for transosseous rotator cuff repair using the Omnicuff, a needle-based transosseous suture-passing device that minimizes the risk of failure of suture passage between the bone tunnels. With potential advantages of this design including automated-assisted suture passage, improved bone-tendon healing, and anchorless fixation, surgeons may be inclined to consider these biomechanical and cost-saving benefits. Future studies are warranted to determine clinical outcomes of this technique and its suitability for tears of varying degrees and patterns.
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spelling pubmed-69931992020-02-04 Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair Atoun, Ehud Kane, Liam T. Abboud, Joseph A. Arthrosc Tech Technical Note Although open transosseous repair was historically used as a gold-standard surgical solution for rotator cuff tears, this procedure was largely replaced by anchor-based techniques because of the advancement of arthroscopic surgery. However, the ability of anchor-based repair to achieve similar biomechanical fixation remains uncertain. Despite the proposals of numerous methods over the last decade, there remains demand for a standard, reliable technique that integrates the biomechanical advantages of transosseous fixation within the realm of arthroscopy. We describe a technique for transosseous rotator cuff repair using the Omnicuff, a needle-based transosseous suture-passing device that minimizes the risk of failure of suture passage between the bone tunnels. With potential advantages of this design including automated-assisted suture passage, improved bone-tendon healing, and anchorless fixation, surgeons may be inclined to consider these biomechanical and cost-saving benefits. Future studies are warranted to determine clinical outcomes of this technique and its suitability for tears of varying degrees and patterns. Elsevier 2019-12-18 /pmc/articles/PMC6993199/ /pubmed/32021775 http://dx.doi.org/10.1016/j.eats.2019.09.004 Text en © 2019 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
Atoun, Ehud
Kane, Liam T.
Abboud, Joseph A.
Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair
title Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair
title_full Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair
title_fullStr Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair
title_full_unstemmed Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair
title_short Arthroscopic, Needle-Based, Transosseous Rotator Cuff Repair
title_sort arthroscopic, needle-based, transosseous rotator cuff repair
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993199/
https://www.ncbi.nlm.nih.gov/pubmed/32021775
http://dx.doi.org/10.1016/j.eats.2019.09.004
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