Arthroscopic transosseous rotator cuff repair: the eight-shape technique

Abstract

All-arthroscopic anchorless transosseous suture techniques combine the advantages of the open transosseous repair with the benefits of arthroscopic technique. However, all the techniques described until now are very complex, difficult to reproduce and associated with an increased surgical time. The authors developed a novel all-arthroscopic anchorless transosseous suture technique easy to perform and to reproduce. This procedure maximizes the tendon-footprint contact area obtaining both medial and lateral fixation without using any device, employing only 1 suture tape so to avoiding the risk of suture twist. The preparation of two transosseous tunnels is very easily and safely performed thanks to a dedicated instrument. The procedure is described in details. Moreover, the preliminary favorable results after a minimum follow-up of 12 months are reported.

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Correspondence to Claudio Chillemi.

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Conflict of interest

Claudio Chillemi declares that he has no conflict of interest. Matteo Mantovani designed and manufactured the Taylor Stitcher® + Superelastic Transosseus Needle®. Marcello Osimani declares that he has no conflict of interest. Alessandro Castagna declares that he has no conflict of interest.

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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.

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

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Chillemi, C., Mantovani, M., Osimani, M. et al. Arthroscopic transosseous rotator cuff repair: the eight-shape technique. Eur J Orthop Surg Traumatol 27, 399–404 (2017). https://doi.org/10.1007/s00590-017-1906-z

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Keywords

  • Rotator cuff
  • Tendon
  • Tear
  • Repair
  • Transosseous technique
  • Arthroscopy