Arthroscopic Double-Row Transosseous Equivalent Rotator Cuff Repair with a Knotless Self-Reinforcing Technique.

Autor:	Mook WR; The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A., Greenspoon JA; The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A., Millett PJ; The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A.
Jazyk:	angličtina
Zdroj:	The open orthopaedics journal [Open Orthop J] 2016 Jul 21; Vol. 10, pp. 286-295. Date of Electronic Publication: 2016 Jul 21 (Print Publication: 2016).
DOI:	10.2174/1874325001610010286
Abstrakt:	Background: Rotator cuff tears are a significant cause of shoulder morbidity. Surgical techniques for repair have evolved to optimize the biologic and mechanical variables critical to tendon healing. Double-row repairs have demonstrated superior biomechanical advantages to a single-row. Methods: The preferred technique for rotator cuff repair of the senior author was reviewed and described in a step by step fashion. The final construct is a knotless double row transosseous equivalent construct. Results: The described technique includes the advantages of a double-row construct while also offering self reinforcement, decreased risk of suture cut through, decreased risk of medial row overtensioning and tissue strangulation, improved vascularity, the efficiency of a knotless system, and no increased risk for subacromial impingement from the burden of suture knots. Conclusion: Arthroscopic knotless double row rotator cuff repair is a safe and effective method to repair rotator cuff tears.
Databáze:	MEDLINE
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