2017 ISAKOS Biennial Congress ePoster #2249

 

Arthroscopic Rotator Cuff Repair By Transosseous Technique, Clinical Results In 83 Cases

Mohammadnasir Naderi Varandi, MD, Tehran IRAN, ISLAMIC REPUBLIC OF
Hassan Kyhanshokouh, MD, Hamedan IRAN, ISLAMIC REPUBLIC OF
Masoud Modersi, MD, Yazd IRAN, ISLAMIC REPUBLIC OF
Farid Sattarzadeh, MD, Tehran IRAN, ISLAMIC REPUBLIC OF

Kasra hospital, Tehran, IRAN, ISLAMIC REPUBLIC OF

FDA Status Not Applicable

Summary

Arthroscopic transosseous repair is a technique that is new in rotator cuff repair and the primary results are promising.

Abstract

Introduction

Arthroscopic repair of rotator cuff tear with anchor sutures is a common technique, but the price and pull out of anchors is a problem. Fixation of cuff directly to bone is an ideal method especially if it is done by arthroscopic method.
Arthroscopic transosseous repair by different devices explained by several authors in recent years. Dr. Krishnan described an interesting instrument (arthrotunneler), and Italian authors described a different method named Sharc-FT.
In all techniques the sutures are passed from holes that are made in bone, and cuff is repaired. No anchor is used. We evaluated the result of our patients treated by this method.
Material &Method:
We evaluated 83 patients with cuff tear who treated from 2010 to 2015.
Forty-one patients were female. Most patients (76 cases) had large to massive tear. In 14 patients subscapularis was involved.
The mean age was 52.8 years (range 34 to 70). Mean operation time was 90 minutes and Mean follow up time was 15 month. In most patients ROM was started after 4-6 weeks.

Results

Except in four cases that anchor suture used with transosseous repair, in remaining we didn’t use anchor. In two patients with massive cuff tear we partially repaired the tear.
We had no infection in our patients. The constant score increased continuously in follow-up exams. In final evaluation the constant score was 85.
The shoulder strength was improved remarkably. Nine cases had some limitation in ROM. The cost of operation was much lower.

Conclusion

The price and pulling out of anchors is a problem in arthroscopic cuff repair. Arthroscopic transosseous technique is a new idea for solving this problem. The technique and devices for this method is evolving.
Our study showed good result with this method. Although this technique has advantage to other methods, but the learning curve is longer.