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"Triple Package" Modified SpeedBridge Rotator Cuff Repair Technique.

Tim Kelley¹, Joel Walthall¹, Kade Lyman¹

¹Taos Orthopaedic Institute, Taos, New Mexico.

Arthroscopy Techniques

|March 7, 2023

Summary

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This study introduces a modified knotless double-row technique for rotator cuff repair, enhancing stability for various tear sizes. The novel approach improves the footprint size and compression, optimizing surgical outcomes.

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanical Engineering

Background:

Rotator cuff repair techniques vary based on tear characteristics like geometry and retraction.
Standard knotless double-row (SpeedBridge) techniques have limitations in specific tear patterns.

Purpose of the Study:

To present a reproducible surgical technique for full-thickness rotator cuff tears with specific tear patterns.
To enhance the stability and footprint size of rotator cuff repairs using a modified knotless double-row technique.

Main Methods:

A modified knotless double-row technique utilizing two medial row anchors (one augmented with fiber tape) and one lateral row anchor.
Creation of a triangular repair construct to increase the lateral row footprint size and stability.

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Main Results:

The technique addresses tear patterns with larger lateral tears and small medial footprint exposure.
Achieves compression for small tears with a single medial anchor and knotless lateral row, or for moderate to large tears with two medial anchors.

Conclusions:

The modified technique offers a reproducible method for rotator cuff repair, particularly for challenging tear geometries.
This approach enhances the biomechanical properties of the repair, potentially leading to improved clinical outcomes.