Advertisement

When and How to Do Margin Convergence Repair Versus Interval Slides

  • Stephen S. Burkhart
  • David P. Huberty

Abstract

Arthroscopic techniques have revolutionized the treatment of large and massive rotator cuff tears. The arthroscopic approach has not only dramatically reduced the rate of major complications from rotator cuff surgery (infection, deltoid detachment, postoperative stiffness), it has also facilitated precise anatomical repair of complex cuff tear patterns.1,2 Restoration of the anatomy is critically important, but the surgeon must first recognize the tear pattern in order to properly repair a given tear.3,4Tear pattern recognition is the essential first step that leads to anatomically accurate rotator cuff repair.

Keywords

Rotator Cuff Rotator Cuff Tear Rotator Cuff Repair Supraspinatus Tendon Suprascapular Nerve 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am 1998;80:832–840.PubMedGoogle Scholar
  2. 2.
    Gartsman GM. Massive, irreparable tears of the rotator cuff. Results of operative debridement and subacromial decompression. J Bone Joint Surg Am 1997;79:715–721.PubMedGoogle Scholar
  3. 3.
    Burkhart SS, Athanasiou KA, Wirth MA. Margin convergence: a method of reducing strain in massive rotator cuff tears. Arthroscopy 1996;12:335–338.PubMedGoogle Scholar
  4. 4.
    Burkhart SS, Danaceau SM, Pearce CE. Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair. Arthroscopy 2001;17:905–912.PubMedGoogle Scholar
  5. 5.
    Halder AM, O’Driscoll SW, Heer G, et al. Biomechanical comparison of effects of supraspinatus tendon detachments, tendon defects and muscle retractions. J Bone Joint Surg Am 2002;84:780–785.PubMedGoogle Scholar
  6. 6.
    Harryman DT II, Mach LA, Wang KY, et al. Repairs of the rotator cuff: correlation of functional results with integrity of the cuff. J Bone Joint Surg Am 1991;73:982–989.PubMedGoogle Scholar
  7. 7.
    Tauro JC. Arthroscopic “interval slide” in the repair of large rotator cuff tears. Arthroscopy 1999;15:527–530.PubMedGoogle Scholar
  8. 8.
    Lo IK, Burkhart SS. Arthroscopic repair of massive, contracted, immobile rotator cuff tears using single and double interval slides: technique and preliminary results. Arthroscopy 2004;20:22–23.PubMedCrossRefGoogle Scholar
  9. 9.
    Burkhart SS, Tehrany AM. Arthroscopic subscapularis repair: technique and preliminary results. Arthroscopy 2002;18:454–463.PubMedGoogle Scholar
  10. 10.
    Lo IK, Burkhart SS. The interval slide in continuity: a method of mobilizing the anterosuperior rotator cuff without disrupting the tear margins. Arthroscopy 2004;20:435–441.PubMedGoogle Scholar
  11. 11.
    Lo IK, Burkhart SS. Arthroscopic coracoplasty through the rotator interval. Arthroscopy 2003;19:667–671.PubMedGoogle Scholar
  12. 12.
    Burkhart SS. Partial repair of massive rotator cuff tears: the evolution of a concept. Orthop Clin North Am 1997;28:125–132.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Stephen S. Burkhart
    • 1
  • David P. Huberty
    • 2
  1. 1.The Orthopaedic InstituteSan AntonioUSA
  2. 2.Oregon Orthopedics and Sports Medicine ClinicOregon CityUSA

Personalised recommendations