Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Jul 12, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Rip-Stop Fixation Constructs for Rotator Cuff Repair.

Simon T Hwang¹, Jeffrey L Horinek², Javier Ardebol¹

¹Oregon Shoulder Institute, Medford, Oregon, U.S.A.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|October 22, 2023

Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Cognitive biases in shoulder surgery decision-making: a narrative review of hidden influences and mitigation strategies.

JSES international·2026

Same author

Cost-effectiveness of Adding Remplissage to Bankart Repair for On-track Hill-Sachs Lesions: A Markov Decision Analysis.

The American journal of sports medicine·2026

Same author

Early adopter surgeon experience with Mako robotic-assisted reverse shoulder arthroplasty: perceived utility, workload, and workflow reliability.

Journal of shoulder and elbow surgery·2026

Same author

Informed Consent for Robotic-Assisted Reverse Shoulder Arthroplasty: Framing the Conversation and Closing the Expectation Gap.

The Journal of bone and joint surgery. American volume·2026

Same author

Mako robotic-assisted glenoid preparation in reverse shoulder arthroplasty: a tail-risk reduction perspective compared with manual and patient-specific guide techniques.

Journal of shoulder and elbow arthroplasty·2026

Same author

Surgeon variation in the use of pre-operative imaging, 3D-based planning, and enabling technologies in shoulder arthroplasty.

Journal of shoulder and elbow arthroplasty·2026

The rip-stop suture technique offers improved rotator cuff repair outcomes, especially for challenging tears. This method enhances fixation security and tendon healing rates compared to traditional single-row repairs.

Area of Science:

Orthopedic Surgery
Biomedical Engineering

Background:

Arthroscopic rotator cuff repair faces challenges with poor tendon quality or complex tears.
Standard single-row repairs may not provide sufficient fixation in difficult cases.

Purpose of the Study:

To evaluate the efficacy of rip-stop suture configurations in arthroscopic rotator cuff repair.
To compare the biomechanical and clinical outcomes of rip-stop techniques versus standard single-row repairs.

Main Methods:

The load-sharing rip-stop technique involves medial suture anchors and lateral knotless anchors with a suture tape.
A knotless rip-stop variation was also assessed.
Biomechanical testing and clinical healing rates were analyzed.

Main Results:

Related Experiment Videos

Last Updated: Jul 12, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

The load-sharing rip-stop technique improved ultimate load to failure by 1.7 times over single-row repair.
Clinical studies showed a 53% healing rate for large/massive tears with rip-stop versus 11% for single-row.
The knotless rip-stop was biomechanically equivalent to a triple-loaded single-row repair.

Conclusions:

Rip-stop suture configurations enhance fixation and healing in challenging arthroscopic rotator cuff repairs.
The knotless rip-stop offers a time-saving, knotless alternative with comparable biomechanical performance.
This technique provides a valuable option for surgeons dealing with poor tendon quality or complex tears.