This article aims to describe a modification of the arthroscopic suture bridge technique for repair of a massive (>3 cm) rotator cuff tear. The method uses 2 medial anchors and 2 lateral anchors for rotator cuff repair, as well as double-row biceps tenodesis. This operative modification may impart better tendon healing and fewer rupture complications than the traditional double-row repair techniques.
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http://dx.doi.org/10.1016/j.eats.2020.02.013 | DOI Listing |
Hernia
December 2024
Department of Surgery, NYU Langone Medical Center, 550 First Ave, HCC 12th Floor, New York, NY, 10016, USA.
Introduction: Closure of large hernia defects with minimally invasive surgery has long-been a challenge. Barbed sutures have helped us bridge this technical gap, but their off-label use is not well studied.
Materials And Methods: We describe a suturing technique for minimally invasive ventral hernia repair (MIS-VHR) termed "progressive defect tensioning" and explore its theoretical advantages.
Cureus
November 2024
Department of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Introduction Sutureless enterostomy is used as an effective technique for constructing an enterostomy in very low and extremely low birth weight infants in Japan. Sutureless enterostomy is a separate type of enterostomy procedure for low birth weight infants. We adapted this technique and developed sutureless loop enterostomy (SLE), an approach without a skin bridge in which the intestinal wall is not sutured to the abdominal wall.
View Article and Find Full Text PDFArthrosc Tech
November 2024
The Second Affiliated Hospital, Department of Joint Surgery, Hengyang Medical School, University of South China, Hengyang, China.
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.
View Article and Find Full Text PDFAsia Pac J Sports Med Arthrosc Rehabil Technol
January 2025
Sports Medicine Institute of Fudan University, Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, PR China.
Purpose: To use a finite element method to construct a patch-bridge repair model for massive rotator cuff tears (MRCTs) and investigate the effects of different suture methods and knot numbers on postoperative biomechanics.
Methods: A finite element model based on intact glenohumeral joint data was used for a biomechanical study. A full-thickness defect and retraction model of the supraspinatus tendon simulated MRCTs.
Arthroscopy
December 2024
Mass General Brigham Sports Medicine.
Anterior cruciate ligament (ACL) injuries do not heal anatomically on their own and often lead to post-traumatic osteoarthritis (PTOA). ACL reconstruction, though effective, can contribute to PTOA, and donor site morbidity remains a concern with autografts. While ACL repair has traditionally shown poorer outcomes (27% failure rate in the 1990s and early 2000s), a recent review of newer techniques shows promising results and no significant differences in patient-reported outcomes between repair and reconstruction.
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