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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
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.
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.
- 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.