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Arthroscopic transosseous (anchorless) rotator cuff repair

  • Shoulder
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The traditional open transosseous rotator cuff repair gives excellent results for the fixation of tendon to bone and has represented the gold standard for rotator cuff surgery with excellent long-term results. In the last few years, different arthroscopic techniques using suture anchors have been developed to increase the tendon–bone contact area in an attempt to reconstitute a more anatomic configuration of the rotator cuff footprint while providing a better environment for tendon healing. However, the anchor-based techniques have still not replicated the traditional open transosseous repair. A surgical technique that allows surgeons to perform a standardized arthroscopic transosseous (anchor free) repair of rotator cuff tears using a new disposable device is described. With this system, it is possible to perform a transosseous technique in a reproducible fashion. This novel technique combines the clinical advantages of minimally invasive arthroscopic surgery and the biomechanical advantages of open transosseous procedures. Level of evidence V.

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Authors and Affiliations

  1. Shoulder Service Hospital F. Miulli, Acquaviva delle fonti, BA, Italy

    Raffaele Garofalo

  2. Shoulder Unit IRCCS Humanitas Institute, Milan, Italy

    Alessandro Castagna & Mario Borroni

  3. Shoulder and Elbow Service, The Carrel Clinic, Dallas, TX, USA

    Sumant G. Krishnan

  4. Via Padova 13, 70029, Santeramo in Colle, BA, Italy

    Raffaele Garofalo

Authors
  1. Raffaele Garofalo
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  2. Alessandro Castagna
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  3. Mario Borroni
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  4. Sumant G. Krishnan
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Correspondence to Raffaele Garofalo.

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Garofalo, R., Castagna, A., Borroni, M. et al. Arthroscopic transosseous (anchorless) rotator cuff repair. Knee Surg Sports Traumatol Arthrosc 20, 1031–1035 (2012). https://doi.org/10.1007/s00167-011-1725-4

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  • DOI: https://doi.org/10.1007/s00167-011-1725-4

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