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Rotator cuff failure after surgery: an all-arthroscopic transosseous approach

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Abstract

Background

Tear recurrence is considered the main complication of a rotator cuff repair. The best arthroscopic technique has not yet been established. The aim of the present study was to evaluate, from a clinical and a radiological standpoint, the all-arthroscopic transosseous rotator cuff repair with cortical lateral augmentation, performed in the setting of a revision surgery.

Materials and methods

Eleven consecutive cases were prospectively followed up for a minimum of 12 month after a rotator cuff repair with a novel all-arthroscopic transosseous rotator cuff repair. VAS and UCLA score and patients’ satisfaction with the outcomes were analyzed, along with MRI evolution of the repair. All patients underwent a standardized surgery and postoperative rehabilitation program.

Results

All patients showed a significant improvement in pain reduction and functional score. Satisfaction was achieved in 10 out of 11 cases, and only 1 case showed a minor discontinuous tendon signal on the 12-month MRI assessment. No complications were noted.

Conclusions

Our results favor the use of the all-arthroscopic transosseous rotator cuff revision surgery with the 2MC configuration (double MC means the initials of the authors—MM and CC, who have originally described it). It appears to be safe and effective, providing good clinical, functional, and radiological results, with a very high patient satisfaction.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Istituto Chirurgico Ortopedico Traumatologico (ICOT), Latina, Italy

    C. Chillemi

  2. Orthopaedic Unit, Casa di Cura “Villa Igea” Hospital, Ancona, Italy

    L. Dei Giudici

  3. NCS Lab, Srl, Carpi, Italy

    M. Mantovani

  4. Department of Radiological Sciences, University of Rome “Sapienza”, ICOT, Latina, Italy

    M. Osimani

  5. Department of Orthopaedic Surgery, University of Rome “Sapienza”, ICOT, Latina, Italy

    S. Gumina

Authors
  1. C. Chillemi
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  2. L. Dei Giudici
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  3. M. Mantovani
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  4. M. Osimani
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  5. S. Gumina
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Corresponding author

Correspondence to C. Chillemi.

Ethics declarations

Conflict of interest

CC declares that he has no conflict of interest. LDG declares that he has no conflict of interest. MM designed and manufactured the Taylor Stitcher® Evo, the Superelastic Transosseous Needle®, and the Elite-SPK®. MO declares that he has no conflict of interest. SG declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Chillemi, C., Dei Giudici, L., Mantovani, M. et al. Rotator cuff failure after surgery: an all-arthroscopic transosseous approach. Musculoskelet Surg 102 (Suppl 1), 3–12 (2018). https://doi.org/10.1007/s12306-018-0560-x

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  • DOI: https://doi.org/10.1007/s12306-018-0560-x

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