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Salvage rotator cuff repair using a biotenodesis screw.
Akbar Nawab1, Yavuz Kocabey, David Caborn
1Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, Louisville, Kentucky, USA.
Summary
Fixing rotator cuff tears is challenging with poor bone quality. Biotenodesis screws offer effective fixation when suture anchors fail in osteoporotic bone.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Rotator cuff tears often require surgical repair.
- Poor bone stock, due to osteopenia or osteoporosis, complicates rotator cuff fixation.
- Traditional suture anchors may fail in compromised bone quality.
Observation:
- This technical note details a case of rotator cuff tear fixation.
- The patient had poor humeral head bone stock.
- Two prior attempts using suture anchors were unsuccessful.
Findings:
- Biotenodesis screws were utilized for rotator cuff tear fixation.
- This method achieved effective fixation despite previous failures.
Implications:
- Biotenodesis screws may provide a viable solution for rotator cuff repair in patients with poor bone stock.
- This technique could improve outcomes for complex cases previously deemed difficult to fixate.