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Medialized Rip-Stop Convergence Technique for Retracted Rotator Cuff Tears

ABSTRACT: Attempts to restore the anatomical footprint during rotator cuff repair for retracted, relatively immobile tears can be difficult. In some cases, it can lead to excessive tension of the repair. Previous studies have noted improved clinical outcomes when repair tension is not excessive, and medialization of the anatomical footprint has been suggested as a technique that can help surgeons repair large, retracted tears without excessive tension and achieve improved clinical outcomes. Of note, excessive tension when restoring the rotator cuff tendon to the anatomical footprint is not limited to large, retracted tears. In some cases, restoring small- and medium-sized tears to the anatomical footprint also can lead to excessive tension. Therefore, it is not uncommon for the authors to employ some degree of footprint medialization even for repair of small- or medium-sized tears if repair to the anatomical footprint will lead to excess tension. The purpose of this article and video demonstration is to provide instruction for a reproducible rotator cuff technique using a medialized single-row rip-stop construct combined with convergence. Technique Video Video 1 An arthroscopic rotator cuff repair with a medialized rip-stop convergence technique is shown for a left shoulder in the beach-chair position, as viewed through a posterior portal and lateral portal with lateral subacromial viewing perspective. Techniques and advantages of medialization are demonstrated with emphasis on creating an opportunity to perform a double-row repair when one otherwise would not be feasible due to the entire footprint’s medial shift.

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PROVIDER: S-EPMC10466296 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

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