Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear

Peiguan Huang, M.Med.; Xiaoxu Wang, M.Med.; Yong Fu, M.D.; Xiaojun Tang, M.D.; Zhihong Xiao, M.D.; Zhengmao Li, M.D.; Bin Peng, M.D.; Min He, M.D.; Chunrong He, M.D.

Arthroscopy Techniques (Nov 2024)

Arthroscopic V-Shaped Double-Pulley Suture-Bridge Repair of Massive Rotator Cuff Tear

Peiguan Huang, M.Med.,
Xiaoxu Wang, M.Med.,
Yong Fu, M.D.,
Xiaojun Tang, M.D.,
Zhihong Xiao, M.D.,
Zhengmao Li, M.D.,
Bin Peng, M.D.,
Min He, M.D.,
Chunrong He, M.D.

Affiliations

Peiguan Huang, M.Med.: Address correspondence to Peiguan Huang, M.Med., The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.; The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Xiaoxu Wang, M.Med.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Yong Fu, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Xiaojun Tang, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Zhihong Xiao, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Zhengmao Li, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Bin Peng, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Min He, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China
Chunrong He, M.D.: The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China

Journal volume & issue: Vol. 13, no. 11
p. 103112

Abstract

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At present, suture bridge is a feasible choice in the treatment of massive rotator cuff tears (MRCTs). However, high tension on the repair site and medial tension during suture tightening and after medial knotting are unavoidable problems in MRCT repair with a suture bridge. Arthroscopic V-shaped double-pulley suture-bridge repair is a pragmatic surgical technique for the repair of MRCTs. The unique parallel design of medial- and lateral-row anchors can minimize tendon tension on the apex portion; 6 sets of double-pulley suture bridges can not only provide sufficient tendon-bone contact area but also reduce the tendon retear rate. Moreover, medial knotless techniques can reduce tendon tension.

Published in Arthroscopy Techniques

ISSN: 2212-6287 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: https://www.journals.elsevier.com/arthroscopy-techniques

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