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Anchorless Transosseous Rotator Cuff Repair: A Technical Note.

Matthew R Cohn¹, Amar S Vadhera^2,3, Harsh Singh³

¹Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.

Video Journal of Sports Medicine

|May 1, 2025

Summary

This study introduces an anchorless transosseous rotator cuff repair technique using a novel device for efficient bone tunnel creation and suture passage. This method offers robust fixation without foreign body reactions, comparable to anchor-based repairs.

Keywords:

OmniCuff anchorless rotator cuff repair rotator cuff repair rotator cuff tear transosseous rotator cuff repair

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Published on: January 6, 2023

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomedical Engineering

Background:

Transosseous rotator cuff repair offers robust fixation and broad compression.
It avoids foreign body reactions associated with suture anchors.
A modern device facilitates anchorless transosseous repair, improving efficiency.

Purpose of the Study:

To present a technique for anchorless transosseous rotator cuff repair.
To highlight the use of a modern device for bone tunnel creation and suture passage.
To evaluate the efficacy and safety of this minimally invasive approach.

Main Methods:

The procedure is performed in the beach-chair position with glenohumeral arthroscopy.
A lateral viewing portal is established for subacromial space visualization.
A specialized device creates bone tunnels and facilitates suture passage through the greater tuberosity.

Main Results:

Arthroscopic transosseous repairs demonstrate promising outcomes.
Healing rates are comparable to anchor-based techniques.
This method successfully avoids foreign bodies at the repair site.

Conclusions:

Anchorless transosseous rotator cuff repair is reproducible with modern devices.
The technique provides robust fixation and broad footprint compression.
Caution is advised in patients with poor bone quality due to potential risks.