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Arthroscopic Transosseous Rotator Cuff Repair Using Bone Tunneling Device
Filip Hudeček1, Vasileios Apostolopoulos1, Jan Kužma2
1First Department of Orthopaedic Surgery, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czechia.
Arthroscopy Techniques
|August 18, 2025
Summary
This study introduces a novel, reusable bone tunneling device for implant-free transosseous rotator cuff repair. This technique offers a cost-effective and reproducible solution for arthroscopic rotator cuff surgery.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Rotator cuff injuries are prevalent, causing shoulder pain, especially in individuals over 40.
- Arthroscopic rotator cuff repair has evolved through single-row, double-row, and transosseous-equivalent techniques.
- Current arthroscopic methods often require multiple anchors, increasing costs and complication risks.
Purpose of the Study:
- To present an innovative, implant-free transosseous rotator cuff repair technique.
- To introduce a reusable instrumentation system designed to enhance feasibility and affordability.
- To demonstrate the application of a bone tunneling device in arthroscopic rotator cuff repair.
Main Methods:
- Development of a reusable bone tunneling device by Drillbone.
- Application of the device for transosseous rotator cuff repair.
- Surgical technique presentation for arthroscopic rotator cuff repair using the bone tunneling device.
Main Results:
- The developed instrumentation system facilitates robust and reproducible transosseous rotator cuff repairs.
- The technique significantly reduces procedural costs compared to anchor-based methods.
- The bone tunneling device enables an implant-free approach to rotator cuff repair.
Conclusions:
- The presented bone tunneling device offers a feasible and affordable alternative for transosseous rotator cuff repair.
- This implant-free technique provides a reproducible method for arthroscopic rotator cuff repair.
- The innovation addresses the limitations of existing anchor-based arthroscopic techniques.
