Video Gallery

Video Gallery

To View the Video

Double-Layer Repair of Delaminated Posterosuperior Rotator Cuff Tears

March 01, 2019

Contributors: Nathalie Pireau; Olivier Van Der Meijden, MD, PhD; Adam S Wilson, MD; Jarret Murray Woodmass, MD; Pascal Boileau,MD; Pascal Boileau,MD

Despite advancements in repair techniques and equipment, healing of larger rotator cuff tears remains a challenge, particularly in patients with risk factors for retear, such as delamination. This video describes the rationale and the preferred surgical technique for repair of delaminated posterosuperior rotator cuff tears, which we believe is reproducible and results in a double-anatomic repair construct. A lasso-loop technique with a single anchor is used for refixation of the deep layer, the footprint of which is located just lateral to the articular margin. Subsequently, the superficial layer, which covers most of the lateral aspect of the footprint, is repaired via a tension-band technique with the use of two similar double-loaded bioresorbable suture anchors and inverse horizontal mattress sutures. The potential benefits of this repair technique include a large cancellous bone bed to promote healing, compression of the tendon on the footprint with elasticity at the repair site, and subacromial smoothness.

Results for "Shoulder & Elbow"

1 of 17
1 of 17

X