Journal of Orthopedics and Joint Surgery

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VOLUME 2 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Results of Arthroscopic Transosseous Rotator Cuff Repair Using the ArthroCuff System: A Prospective Study

Bellal S Rajsirish, Senthilvelan Rajagopalan, Ravi Nehru, Sridhar G Rajagopalan, Omprakash

Citation Information : Rajsirish BS, Rajagopalan S, Nehru R, Rajagopalan SG, O. Results of Arthroscopic Transosseous Rotator Cuff Repair Using the ArthroCuff System: A Prospective Study. 2020; 2 (1):4-9.

DOI: 10.5005/jp-journals-10079-1015

License: CC BY-NC 4.0

Published Online: 17-10-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Introduction: Rotator cuff tears are one of the common cause of shoulder pain and disability. Transosseus cuff repair is still considered as the gold standard against which other techniques are compared. We studied the functional outcome of 50 patients with rotator cuff tear treated by our novel reusable arthroscopic transosseous repair system (ArthroCuff). Materials and methods: We performed a prospective study involving 50 patients with full thickness rotator cuff tears during the period from January 2017 to December 2107. Repair was done with the ArthroCuff system. The patients were followed up periodically at 6 months and 1 year; 2 years functional outcome was assessed for pain, Oxford Shoulder score and active range of motion. Results: At the end of 1 year and 2 years, all our patients had significant improvement in their Oxford Score, range of motion and pain relief. Two patients were trailing behind the mean at 6 months but they improved at 12 months. The results are comparable with other available transosseous systems and arthroscopic double row repair techniques. Conclusion: Arthroscopic transosseous repair though a reliable and cost-effective alternate to suture anchors, is not widely available in India. So, in association with the National Hub for Healthcare Device Development, we developed ArthroCuff. For cost-conscious countries a reusable system to provide a robust rotator cuff repair is the need of the hour and we believe surgeons and patients can benefit from the multiple advantages that exist with this system.

  1. Arthroscopic repair of full-thickness tears of the rotator cuff: 2- to 14 year follow-up. Arthroscopy 2002;18(2):136–144. DOI: 10.1053/jars.2002.30443.
  2. Long-term functional and structural outcome in patients with intact repairs 1 year after open transosseous rotator cuff repair. J Shoulder Elbow Surg 2009;18(4):521–528. DOI: 10.1016/j.jse.2008.11.006.
  3. What's new in shoulder and elbow surgery. J Bone Joint Surg Am 2009;91(5):1283–1293. DOI: 10.2106/JBJS.I.00105.
  4. Rotator cuff tears: the effect of the reconstruction method onthree-dimensional repair site area. Arthroscopy 2002;18(5):519–526. DOI: 10.1053/jars.2002.32930.
  5. Tendon-to-bone pressure distributions at a repaired rotator cuff footprint using transosseous suture and suture anchor fixation techniques. Am J Sports Med 2005;33(8):1154–1159. DOI: 10.1177/0363546504273053. Epub 2005 Jul 6.
  6. Tendon-bone interface motion in transosseous suture and suture anchor rotator cuff repair techniques. Am J Sports Med 2005;33(11):1667–1671. DOI: 10.1177/0363546505278252. Epub 2005 Aug 10.
  7. The shoulder. In: Surgical Exposures in Orthopaedics. 2nd ed., Philadelphia, PA: JB Lippincott Co; 1994. pp. 1–65.
  8. Arthroscopic transhumeral rotator cuff repair: giant needle technique. Arthroscopy 2002;18(2):218–223. DOI: 10.1053/jars.2002.30661.
  9. Rhode Island Hospital, Department of Orthopaedic Surgery, 2 Dudley street, Providence, RI 02903. Am J Sports Med 2012.
  10. A laboratory comparison of a new arthroscopic transosseous rotator cuff repair to a double row transosseous equivalent rotator cuff repair using suture anchors. Bull Hosp J Dis 2013;71(2):128–131.
  11. Strength of fixation with transosseous sutures in rotator cuff repair. J Bone Joint Surg Am 1997;79(7):1064–1068. DOI: 10.2106/00004623-199707000-00013.
  12. Arthroscopic transosseous rotator cuff repair: technical note, outcomes, and complications. Orthopedics 2015;38(5):e352–e358. DOI: 10.3928/01477447-20150504-50.
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