The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair
Most arthroscopic rotator cuff repairs utilize suture passing devices placed through arthro- scopic cannulas. These devices are limited by the size of the passing device where the suture is passed through the tendon. An alternative technique has been used in the senior author’s practice for the past...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2014-05-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/5279 |
| _version_ | 1818675299010740224 |
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| author | Bryan G. Vopat Jothi Murali Ashok L. Gowda Lee Kaback Theodore Blaine |
| author_facet | Bryan G. Vopat Jothi Murali Ashok L. Gowda Lee Kaback Theodore Blaine |
| author_sort | Bryan G. Vopat |
| collection | DOAJ |
| description | Most arthroscopic rotator cuff repairs utilize suture passing devices placed through arthro- scopic cannulas. These devices are limited by the size of the passing device where the suture is passed through the tendon. An alternative technique has been used in the senior author’s practice for the past ten years, where sutures are placed through the rotator cuff tendon using percutaneous passing devices. This technique, dubbed the global percutaneous shuttling technique of rotator cuff repair, affords the placement of sutures from nearly any angle and location in the shoulder, and has the potential advantage of larger suture bites through the tendon edge. These advantages may increase the area of tendon available to compress to the rotator cuff footprint and improve tendon healing and outcomes. The aim of this study is to describe the global percutaneous shuttling (GPS) technique and report our results using this method. The GPS technique can be used for any full thickness rotator cuff tear and is particularly useful for massive cuff tears with poor tissue quality. We recently followed up 22 patients with an average follow up of 32 months to validate its usefulness. American Shoulder and Elbow Surgeons scores improved significantly from 37 preoperatively to 90 postoperatively (P<0.0001). This data supports the use of the GPS technique for arthroscopic rotator cuff repair. Further biomechanical studies are currently being performed to assess the improvements in tendon footprint area with this technique. |
| first_indexed | 2024-12-17T08:25:22Z |
| format | Article |
| id | doaj.art-1d16cabfa8ba4efebb4a99998242c838 |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-17T08:25:22Z |
| publishDate | 2014-05-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-1d16cabfa8ba4efebb4a99998242c8382022-12-21T21:56:48ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642014-05-016210.4081/or.2014.52792804The global percutaneous shuttling technique tip for arthroscopic rotator cuff repairBryan G. Vopat0Jothi Murali1Ashok L. Gowda2Lee Kaback3Theodore Blaine4Orthopedic Department, Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, Providence, RIOrthopedic Department, Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, Providence, RIOrthopedic Department, Yale School of Medicine, New Haven, CTShoulder and Elbow Surgery, OrthoNY, Albany, NYOrthopedic Department, Yale School of Medicine, New Haven, CTMost arthroscopic rotator cuff repairs utilize suture passing devices placed through arthro- scopic cannulas. These devices are limited by the size of the passing device where the suture is passed through the tendon. An alternative technique has been used in the senior author’s practice for the past ten years, where sutures are placed through the rotator cuff tendon using percutaneous passing devices. This technique, dubbed the global percutaneous shuttling technique of rotator cuff repair, affords the placement of sutures from nearly any angle and location in the shoulder, and has the potential advantage of larger suture bites through the tendon edge. These advantages may increase the area of tendon available to compress to the rotator cuff footprint and improve tendon healing and outcomes. The aim of this study is to describe the global percutaneous shuttling (GPS) technique and report our results using this method. The GPS technique can be used for any full thickness rotator cuff tear and is particularly useful for massive cuff tears with poor tissue quality. We recently followed up 22 patients with an average follow up of 32 months to validate its usefulness. American Shoulder and Elbow Surgeons scores improved significantly from 37 preoperatively to 90 postoperatively (P<0.0001). This data supports the use of the GPS technique for arthroscopic rotator cuff repair. Further biomechanical studies are currently being performed to assess the improvements in tendon footprint area with this technique.http://www.pagepress.org/journals/index.php/or/article/view/5279rotator cuff repair, percutaneous, arthroscopy |
| spellingShingle | Bryan G. Vopat Jothi Murali Ashok L. Gowda Lee Kaback Theodore Blaine The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair Orthopedic Reviews rotator cuff repair, percutaneous, arthroscopy |
| title | The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair |
| title_full | The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair |
| title_fullStr | The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair |
| title_full_unstemmed | The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair |
| title_short | The global percutaneous shuttling technique tip for arthroscopic rotator cuff repair |
| title_sort | global percutaneous shuttling technique tip for arthroscopic rotator cuff repair |
| topic | rotator cuff repair, percutaneous, arthroscopy |
| url | http://www.pagepress.org/journals/index.php/or/article/view/5279 |
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