Intraoperative bone tunnel laceration affects integrity of arthroscopic transosseous rotator cuff repair with a tunneling device

Background: We aimed to evaluate the functional outcomes, incidence of bone tunnel laceration, and bone tunnel morphology of transosseous arthroscopic rotator cuff repair (ARCR) with the Arthro-TunnelerTM. Methods: Between May 2012 and April 2013, patients with full-thickness tears who underwent transosseous ARCR with the Arthro-TunnelerTM and could be followed for a minimum of 2 yr were included in this retrospective study. Functional outcomes, cuff repair integrity, intraoperative bone tunnel laceration, and postoperative bone tunnel morphology were analyzed. Results: We retrospectively evaluated 42 consecutive patients (average age: 67.6 yr) who underwent transosseous ARCR. The mean active forward elevation, mean active abduction, mean Constant-Murley score, mean American Shoulder and Elbow Surgeon Score (ASES), and pain Visual Analogue Scale (VAS) improved from preoperative values of 127 degrees, 118 degrees, 50.3 points, 53.2 points, and 4.5 to 159 degrees, 160 degrees, 83.3 points, 78.5 points, and 1.7, respectively, at the final follow-up (P
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research

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CONCLUSION: We believe that concomitant coracoplasty during arthroscopic repair may not be a necessary routine in the treatment of isolated subscapularis tears. PMID: 31291858 [PubMed - in process]
Source: Eklem Hastaliklari ve Cerrahisi - Category: Orthopaedics Tags: Eklem Hastalik Cerrahisi Source Type: research
AbstractPurpose of reviewTo assess the outcomes of modern techniques for arthroscopic surgery in the treatment of femoroacetabular impingement.Recent findingsWhile initially approached by means of open surgical hip dislocation, recent literature has shown generally good outcomes of arthroscopic treatment for femoroacetabular impingement. Modern advances in hip arthroscopy technique and implants now allow for labral repair or reconstruction when indicated.SummaryArthroscopic treatment of femoroacetabular impingement results in significant improvements in patient pain and function, with low complication rates and high patien...
Source: Current Reviews in Musculoskeletal Medicine - Category: Orthopaedics Source Type: research
We describe the technique of bursal augmentation in arthroscopic double-row SutureBridge repair of a posterosuperior rotator cuff tear with the aim of improving tendon-to-bone healing.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
ConclusionLarge and massive rotator cuff tears (tears  >  3 cm) associated with LHBT pathologies benefited from intraarticular or subpectoral tenodesis similarly, with no differences in short- or mid-term results between these two techniques.Level of evidenceII.
Source: Journal of Orthopaedics and Traumatology - Category: Orthopaedics Source Type: research
ConclusionsArthroscopic GACI produces satisfactory clinical and radiologic outcomes, and histologic evaluation confirms sufficient regeneration of hyaline-like cartilage that correlates with improved symptoms. Therefore, it is an acceptable, minimally invasive, and technically simple option for the restoration of cartilage defects of the knee.Level of evidenceIV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
ConclusionMore than 60% of the patients reported an acceptable symptom state on four of the five KOOS subscales 2  years after primary ACLR. Age ≥ 30 years and female gender were the non-modifiable factors that consistently increased and reduced, respectively, the odds of achieving a PASS. A symmetrical 6-month isokinetic quadriceps strength and single-leg-hop test performance were the modifiable factor s that consistently increased the opportunity of achieving a PASS 2 years after primary ACLR.Level of evidenceIII.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Publication date: Available online 10 June 2019Source: Arthroscopy TechniquesAuthor(s): Alison K. Sarokhan, Nicky L. LeungAbstractAlthough triceps tendon tears are less common than other tendon tears, complete ruptures require surgical repair to restore the strength of the extensor mechanism of the elbow. There are several described techniques for repair using both transosseous tunnels and suture anchors. Current techniques often result in large suture knots over the dorsal ulna under thin subcutaneous tissue, which can be irritating for patients. Knotless techniques require costly suture anchors. In this technical note, w...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
ConclusionAlthough meniscal repair theoretically may provide improvement in biomechanical loading, patients undergoing repair had higher complication rates than those undergoing partial meniscectomy. Clinicians should consider the available implants in determining which tear patterns to repair and future studies with long-term follow-up are needed to investigate complications (e.g. secondary meniscal procedures) as well as the potential for delay in the development of osteoarthritis.Level of evidenceLevel IV.
Source: Knee Surgery, Sports Traumatology, Arthroscopy - Category: Orthopaedics Source Type: research
Publication date: Available online 8 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Ujjwal K. Debnath, Vivek Goel, Sahil Saini, Neev Trehan, Ravi TrehanAbstractBackground &purposeThe recent advances in anaesthesia and analgesia have significantly improved the early recovery and effective post-operative pain control in day care surgery e.g. shoulder; arthroscopic procedures. Adequate analgesia improves the early rehabilitation for a better outcome. We prospectively evaluated the post-operative pain relief following the two methods of analgesia i.e. regional Inter-scalene block (ISB) vs Intra-arti...
Source: Journal of Clinical Orthopaedics and Trauma - Category: Orthopaedics Source Type: research
Authors: Tonotsuka H, Sugaya H, Takahashi N, Kawai N, Sugiyama H, Marumo K Abstract Background: The purpose of this study was to clarify the importance of preoperative pain control using corticosteroid injections in patients with persistent rest pain (RP) before arthroscopic rotator cuff repair (ARCR). Methods: A total of 360 patients (374 shoulders) who underwent primary ARCR and were followed up for at least 2 years were enrolled. After one-to-one propensity score matching, 266 patients (145 men and 128 women, 273 shoulders) were included in the study. Their mean age was 65.2 ± 7.7 years (range, 42 to ...
Source: Clinics in Orthopedic Surgery - Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research
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