Dataset Information

Arthroscopic Knotless Rotator Cuff Repair With Decellularized Dermal Allograft Augmentation: The "Canopy" Technique.

ABSTRACT: Repairability and clinical outcomes of full-thickness rotator cuff tears rely on tendon mobility, tissue quality, and subsequent tension on a repair. While repair of rotator cuff tears tend to yield excellent clinical results, poor tissue quality has been an important factor that has hampered successful outcomes. This Technical Note describes a double-row rotator cuff repair using a SpeedBridge configuration with dermal allograft "canopy" augmentation to bolster the repairable but thinned rotator cuff tissue. This technique employs a unique graft fixation strategy to simplify the procedure. This approach could provide surgeons with a great option when faced with mobile but thinned rotator cuff tissue.

SUBMITTER: Hirahara AM

PROVIDER: S-EPMC7695626 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Arthroscopic Knotless Rotator Cuff Repair With Decellularized Dermal Allograft Augmentation: The "Canopy" Technique.

Hirahara Alan M AM Andersen Wyatt J WJ Dooney Tom T

Arthroscopy techniques 20201021 11

Repairability and clinical outcomes of full-thickness rotator cuff tears rely on tendon mobility, tissue quality, and subsequent tension on a repair. While repair of rotator cuff tears tend to yield excellent clinical results, poor tissue quality has been an important factor that has hampered successful outcomes. This Technical Note describes a double-row rotator cuff repair using a SpeedBridge configuration with dermal allograft "canopy" augmentation to bolster the repairable but thinned rotato ...[more]

PMID: 33294343

Similar Datasets

Project description:Arthroscopic rotator cuff repair (RCR) is a popular treatment for rotator cuff tears. Retear after RCR remains a significant concern even with modern techniques. Augmentation of RCR has been described using multiple different grafts, one option including a cannulated dermal allograft implant (DePuy Mitek). The utilization of this implant avoids significantly increased surgical time, allows for augmentation at the weakest area of repair, and does not lead to any wasted allograft material. Technique Video Video 1 In this video, augmented arthroscopic rotator cuff repair with cannulated dermal allograft is performed on a patient’s right shoulder. Diagnostic arthroscopy is first performed, addressing any associated intra-articular pathology. Preparation for repair is performed in the standard fashion, debriding the footprint of the tear and decorticating the greater tuberosity. A double-row, transosseus equivalent repair construct is used. The medial row anchor is double loaded with a #2 suture and 2.5 mm suture tape. Sutures are passed through the anterior and posterior aspect of the tear. The suture tapes are passed through the central aspect of the tear together using a separate looped suture. The posterior suture and one of the tapes are shuttled into the posterolateral portal for preparation of placement for the posterolateral row anchor. The cannulated dermal allograft is placed onto the suture tape using the applicator and pushed into place near the cannula. The implant is reduced inside the shoulder using a knot pusher. The sutures are loaded on a self-punching anchor and malleted into place. Sutures are sequentially tightened, and when the tear is reduced, the anchor is screwed down to the final position. This process is repeated for the anterolateral row anchor but with the implant being placed on the suture for that anchor. The repair is then inspected, ensuring acceptable reduction and good position of the cannulated dermal allograft implant.

Dataset Information

Arthroscopic Knotless Rotator Cuff Repair With Decellularized Dermal Allograft Augmentation: The "Canopy" Technique.

Publications

Arthroscopic Knotless Rotator Cuff Repair With Decellularized Dermal Allograft Augmentation: The "Canopy" Technique.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets