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Related Experiment Video

Updated: Sep 2, 2025

Reverse Total Shoulder Arthroplasty
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Reverse Total Shoulder Arthroplasty

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Tripod Technique to Augment Transosseous Equivalent Rotator Cuff Repair.

A Gaukroger1, M Arnander1, Y Pearse1

  • 1Shoulder Unit, Department of Orthopaedics, St. George's University Hospital NHS Trust, Tooting, UK.

Arthroscopy Techniques
|August 8, 2022
PubMed
Summary

A modified rotator cuff repair technique uses a third anchor to stabilize lateral row anchors in the humerus. This "tripod" method reduces stress on the bone, preventing anchor toggling and protecting the repair.

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Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering
  • Sports Medicine

Background:

  • The transosseous-equivalent Speedbridge™ technique is a common rotator cuff repair method.
  • Soft bone in the lateral humerus can lead to anchor toggling and repair de-tensioning.

Purpose of the Study:

  • To present a modified technique for rotator cuff repair that enhances anchor stability.
  • To reduce stress on lateral humerus anchors during transosseous-equivalent repairs.

Main Methods:

  • A novel technique involving an additional third-row anchor was developed.
  • This third anchor is placed in a tripod configuration with the lateral row anchors.

Main Results:

  • The tripod technique effectively reduces forces exerted on the lateral humerus anchors.

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  • This modification protects the rotator cuff repair from de-tensioning due to anchor toggling.
  • Conclusions:

    • The addition of a third anchor in a tripod fashion offers a protective measure for rotator cuff repairs.
    • This technique may improve the longevity and success of transosseous-equivalent Speedbridge™ repairs in patients with softer bone quality.