Dataset Information

Single-Incision Rotator Cuff Repair With a Needle Arthroscope.

ABSTRACT: Arthroscopy frequently has been used to treat a variety of shoulder conditions, including rotator cuff tears. Arthroscopic techniques, when compared with open techniques, are associated with less morbidity, leading to lower complication rates, easier recovery, and improved outcomes. As technology improves, we continue to develop less-invasive surgical techniques to treat rotator cuff pathology. With the development of the NanoScope (Arthrex, Naples, FL), we have the opportunity to view through a small cannula without making a standard viewing portal. This technique combines this small viewing portal with standard repair techniques through only a single lateral incision to provide a less-invasive rotator cuff repair technique.

SUBMITTER: Lavender C

PROVIDER: S-EPMC7188932 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Single-Incision Rotator Cuff Repair With a Needle Arthroscope.

Lavender Chad C Lycans Dana D Sina Adil Syed Ali SA Berdis Galen G

Arthroscopy techniques 20200303 4

Arthroscopy frequently has been used to treat a variety of shoulder conditions, including rotator cuff tears. Arthroscopic techniques, when compared with open techniques, are associated with less morbidity, leading to lower complication rates, easier recovery, and improved outcomes. As technology improves, we continue to develop less-invasive surgical techniques to treat rotator cuff pathology. With the development of the NanoScope (Arthrex, Naples, FL), we have the opportunity to view through a ...[more]

PMID: 32368459

Similar Datasets

Project description:The advent of arthroscopy in shoulder surgery has allowed for the development of minimally invasive techniques for the treatment of shoulder pathology. Further developments in needle arthroscopy have continued this trend toward less invasive shoulder surgery, allowing for decreased pain using smaller portals and decreased fluid irrigation through the shoulder joint during surgery. This technique describes a minimally invasive rotator cuff repair using a dual-lumen cannula that provides both direct visualization and direct instrument access to the pathology. This new cannula has the potential to further refine and to simplify needle arthroscopic techniques about the shoulder. With judicious patient selection, needle arthroscopy is a viable option for the treatment of common shoulder pathology. Technique Video Video 1 A spinal needle is used to create a location for the standard lateral portal, and using a hemostat, the Passport Dual Lumen Cannula (Arthrex) is then inserted to be a working and viewing portal. A spinal needle is seen from superior, and lateral to the acromion, the placement for the medial 2 knotless anchors is located. A small stab incision is made and the punch is brought in, and while viewing from lateral, the medial anchors are placed. The medial swivel lock (Arthrex) anchors loaded with sutures are then placed in standard fashion. While viewing through the lateral portal with the NanoScope in the axillary lumen, a suture retriever is used to retrieve the suture tape coming out of the anterior-most anchor, and it is loaded into a Scorpion (Arthrex) suture passer. This passer is then used through the main lumen from the lateral portal to pass the anterior and posterior respective sutures through the rotator cuff. Those are then retrieved superiorly and cut to give 4 separate sutures. One anterior suture and 1 posterior suture are retrieved from lateral while still viewing with the NanoScope through the axillary lumen. These are placed through a knotless swivel lock, and the lateral row anchors are punched for from laterally in standard fashion. The anchors are then tensioned and placed into the bone while directly visualizing from the lateral portal. Final views of the repair and the shoulder are then seen.

Project description:PurposeTo compare patient-reported and surgical outcome measures in patients with and without secondary shoulder stiffness (SSS) undergoing rotator cuff repair (RCR).MethodsPatients undergoing rotator cuff repair from 2014 to 2020 with complete patient-reported outcome measures (PROMs) by the short-form 12 survey (SF-12) were retrospectively reviewed to identify if operative intervention for SSS was performed alongside the RCR. Those patients with operative intervention for SSS were propensity matched to a group without prior intervention for stiffness by age, sex, laterality, body mass index, diabetes mellitus status, and the presence of a thyroid disorder. The groups were compared by rotator cuff tear (RCT) size, surgical outcomes, further surgical intervention, rotator cuff retear rate, postoperative range of motion (ROM), and SF-12 results at 1 year after surgery. Delta values were calculated for component scores of the SF-12 and ROM values by subtracting the preoperative result from the postoperative result.ResultsA total of 89 patients with SSS were compared to 156 patients in the control group at final analysis. The patients in the SSS group experienced a significant improvement in the delta mental health component score (MCS-12) of the SF-12 survey that was not seen in the control group (P = .005 to P = .539). Both groups experienced significant improvement by the delta physical health component score (PCS-12) of the SF-12 survey (SSS: 7.68; P < .001; control: 6.95; P < .001). The SSS group also experienced greater improvement of their forward flexion (25.8° vs 12.9°; P = .005) and external rotation (7.13° vs 1.65°; P = .031) ROM than the control group.ConclusionsOperative intervention of SSS at the time of RCR has equivalent postoperative SF-12 survey outcome scores when compared to patients undergoing RCR without preoperative stiffness despite those patients having lower preoperative scores.Level of evidenceLevel III retrospective comparative study.

Dataset Information

Single-Incision Rotator Cuff Repair With a Needle Arthroscope.

Publications

Single-Incision Rotator Cuff Repair With a Needle Arthroscope.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets