![Page 1: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous](https://reader030.vdocuments.us/reader030/viewer/2022040700/5d50dd4b88c993b8218b4e07/html5/thumbnails/1.jpg)
Mohammad nasir Naderi, MD
Hassan Kyhanshokouh, MD
Masoud Modersi, MD
Farid Sattarzadeh, MD
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results comparable to open repair
better visualization of RC
Less deltoid morbidity
shorter hospital stay
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Rigid fixation to bone
Problems with anchors :
incorrect placement
migration after placement
loosening or breakage of anchors
Cost !
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Fixation of RC directly to bone
is an ideal method especially
by arthroscopic method
Transossous fixation
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Arthroscopic Transosseous Rotator Cuff Repair. Kyung-Cheon Kim, et al ORTHOPEDICS April 2008;31(4):327.
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Arthroscopic bone needle
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Sumant G. Butch Krishnan
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Pellegrini A., et al
Arthroscopic Rotator Cuff Tear Transosseous Repair System: The Sharc-FT Using the Taylor Stitcher Arthroscopy Techniques, Vol 4, No 3 (June), 2015: pp e201-e205
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from 2010 to 2015 , 83 cases
mean age = 52.8 years (range 37 to 70 y.)
M/F = 42/41 , Rt shoulder =48 cases
(76 cases) had large to massive tear
In 14 patients subscapularis was involved
follow up time = 11 month (6 – 24 m.)
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Only in 4 case anchor was used with transosseous repair
In 2 case with massive cuff tear partially repaired
Constant score & Shoulder strength increased
No infection
ROM limited in 9 patients
cost of operation was lower
Technically more difficult
Results
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Arthroscopic transosseous repair
A valuable option in cuff repair
No use of anchor
Primary results promising
Thank you for attention
longer learning curve