Arthroscopic transition from suture anchors to transosseous suture technique for treating rotator cuff tear with osteoporosis- a case report.

ABSTRACT:

Background

Rotator cuff repair using suture anchors (SA) is the current standard; however, in osteoporotic patients, anchor pullout can compromise surgical outcomes. Transosseous rotator cuff repair (TO-RCR), especially the Open-Box (OBOX) technique, has emerged as a viable anchorless alternative offering superior biomechanical advantages.

Case presentation

A 73-year-old woman with a full-thickness rotator cuff tear and osteoporosis underwent arthroscopic SA repair. During surgery, anchor pullout occurred due to poor bone quality. The surgical team immediately transitioned to the OBOX technique, involving vertically crossed bone tunnels and eight-point tendon fixation using six high-strength sutures. Postoperative recovery was uneventful, with substantial improvements in ran

SUBMITTER: Zhang K 

PROVIDER: S-EPMC12505657 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature