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Shuttle Suture Technique for Passing Rotator Cuff Suture Through the Plate Eyelet Holes in Proximal Humerus Fixation.

ABSTRACT: The proximal humerus fracture is common in both adult and elderly patients, with an incidence of approximately 5%, of whom about 1 in 4 is treated operatively. To achieve the healing of the fracture, the operative technique is combined with an internal fixation by a locking plate and tension band rotator cuff sutures by passing the sutures through each eyelet hole of the plate and tightening them. The tension band rotator cuff sutures provide good functional and radiographic outcomes in cases of proximal humerus fracture. The surgeons normally pass a rotator cuff suture through each eyelet hole using a curved needle which can pass only one suture in one eyelet hole. We propose a shuttle suture technique to easily pass the rotator cuff sutures through the eyelet holes of the locking plate.

SUBMITTER: Klabklay P

PROVIDER: S-EPMC7823115 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Arthroscopic Repair of Rotator Cuff Tears Using a Suture Hook With Lasso Loop for Forward Suture Passing

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How to Maximize Suture Tension in Double-Row Suture-Bridge Rotator Cuff Repair?

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Factors associated with maintaining reduction following locking plate fixation of proximal humerus fractures: a population-based retrospective cohort study.

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Project description:Following a failed course of conservative management, arthroscopic rotator cuff repair (ARCR) has become the gold standard treatment for patients presenting with symptomatic rotator cuff (RC) tears. Traditionally, the single-row repair technique was used. Although most patients enjoy good to excellent clinical outcomes, structural healing to bone remains problematic. As a result, orthopaedic surgeons have sought to improve outcomes with various technological and technical advancements. One such possible advancement is the double-row technique. We present a method for repairing an RC tear using double-row suture anchors in a transosseous equivalent suture bridge technique. The double-row technique is believed to more effectively re-create the anatomic footprint of the tendon, as well as increase tendon to bone surface area, and apposition for healing. However, it requires longer operating times and is costlier. This report highlights this technique for ARCR in an adult by using a double-row transosseous equivalent suture bridge.

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