“Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft
Despite the vast improvement in techniques and technology for arthroscopic rotator cuff surgery, repairs of massive and large tears remain challenging because they are associated with significantly high failure rates. In recent years, patch augmentation has gained popularity as a technique to decrea...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2016-08-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628716000815 |
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| author | A. Ali Narvani, M.B.B.S.(Hons), M.Sc.(Sports Med)(Hons), F.R.C.S.(Orth&Trauma), M.F.S.E.M.(UK) Paolo Consigliere, M.D., M.Ch.(Ortho&Trauma) Ioannis Polyzois, M.B.Ch.B., M.R.C.S., C.C.S.T.Orth., F.E.B.O.T. Tanaya Sarkhel, M.D., M.Ch.(Ortho&Trauma), F.R.C.S. Rohit Gupta, M.D., M.Ch.(Ortho&Trauma), F.R.C.S. Ofer Levy, M.D., M.Ch.(Orth), F.R.C.S. |
| author_facet | A. Ali Narvani, M.B.B.S.(Hons), M.Sc.(Sports Med)(Hons), F.R.C.S.(Orth&Trauma), M.F.S.E.M.(UK) Paolo Consigliere, M.D., M.Ch.(Ortho&Trauma) Ioannis Polyzois, M.B.Ch.B., M.R.C.S., C.C.S.T.Orth., F.E.B.O.T. Tanaya Sarkhel, M.D., M.Ch.(Ortho&Trauma), F.R.C.S. Rohit Gupta, M.D., M.Ch.(Ortho&Trauma), F.R.C.S. Ofer Levy, M.D., M.Ch.(Orth), F.R.C.S. |
| author_sort | A. Ali Narvani, M.B.B.S.(Hons), M.Sc.(Sports Med)(Hons), F.R.C.S.(Orth&Trauma), M.F.S.E.M.(UK) |
| collection | DOAJ |
| description | Despite the vast improvement in techniques and technology for arthroscopic rotator cuff surgery, repairs of massive and large tears remain challenging because they are associated with significantly high failure rates. In recent years, patch augmentation has gained popularity as a technique to decrease these high failure rates. Arthroscopic patch augmentation of rotator cuff repair, however, is technically difficult. The purpose of this report is to describe a simple and reproducible technique for all-arthroscopic extracellular matrix graft augmentation. With this technique, which we refer to as the “owl” technique because the prepared extracellular augment resembles an owl, there are relatively few suture ends involved; therefore, augment introduction is straightforward with a reduced risk of suture ends becoming tangled. In addition, the way in which our augmentation is prepared helps to prevent it from becoming bunched up when being secured. |
| first_indexed | 2024-12-17T05:04:53Z |
| format | Article |
| id | doaj.art-450ebf9a4b4b4b14b85b850092bac4ad |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-17T05:04:53Z |
| publishDate | 2016-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-450ebf9a4b4b4b14b85b850092bac4ad2022-12-21T22:02:28ZengElsevierArthroscopy Techniques2212-62872016-08-0154e717e724“Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix GraftA. Ali Narvani, M.B.B.S.(Hons), M.Sc.(Sports Med)(Hons), F.R.C.S.(Orth&Trauma), M.F.S.E.M.(UK)0Paolo Consigliere, M.D., M.Ch.(Ortho&Trauma)1Ioannis Polyzois, M.B.Ch.B., M.R.C.S., C.C.S.T.Orth., F.E.B.O.T.2Tanaya Sarkhel, M.D., M.Ch.(Ortho&Trauma), F.R.C.S.3Rohit Gupta, M.D., M.Ch.(Ortho&Trauma), F.R.C.S.4Ofer Levy, M.D., M.Ch.(Orth), F.R.C.S.5Rowley Bristow Orthopaedic Unit, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, England; Fortius Clinic, London, England; Address correspondence to A. Ali Narvani, M.B.B.S.(Hons), M.Sc.(Sports Med)(Hons), F.R.C.S.(Orth&Trauma), M.F.S.E.M.(UK), Rowley Bristow Orthopaedic Unit, Ashford and St. Peter's Hospitals NHS FT, Guildford Road, Chertsey, Surrey KT16 0PZ, England.Rowley Bristow Orthopaedic Unit, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, EnglandRowley Bristow Orthopaedic Unit, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, EnglandRowley Bristow Orthopaedic Unit, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, EnglandRowley Bristow Orthopaedic Unit, Ashford and St. Peter's Hospitals NHS Foundation Trust, Chertsey, EnglandReading Shoulder Unit, Royal Berkshire NHS Foundation Trust, Reading, EnglandDespite the vast improvement in techniques and technology for arthroscopic rotator cuff surgery, repairs of massive and large tears remain challenging because they are associated with significantly high failure rates. In recent years, patch augmentation has gained popularity as a technique to decrease these high failure rates. Arthroscopic patch augmentation of rotator cuff repair, however, is technically difficult. The purpose of this report is to describe a simple and reproducible technique for all-arthroscopic extracellular matrix graft augmentation. With this technique, which we refer to as the “owl” technique because the prepared extracellular augment resembles an owl, there are relatively few suture ends involved; therefore, augment introduction is straightforward with a reduced risk of suture ends becoming tangled. In addition, the way in which our augmentation is prepared helps to prevent it from becoming bunched up when being secured.http://www.sciencedirect.com/science/article/pii/S2212628716000815 |
| spellingShingle | A. Ali Narvani, M.B.B.S.(Hons), M.Sc.(Sports Med)(Hons), F.R.C.S.(Orth&Trauma), M.F.S.E.M.(UK) Paolo Consigliere, M.D., M.Ch.(Ortho&Trauma) Ioannis Polyzois, M.B.Ch.B., M.R.C.S., C.C.S.T.Orth., F.E.B.O.T. Tanaya Sarkhel, M.D., M.Ch.(Ortho&Trauma), F.R.C.S. Rohit Gupta, M.D., M.Ch.(Ortho&Trauma), F.R.C.S. Ofer Levy, M.D., M.Ch.(Orth), F.R.C.S. “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft Arthroscopy Techniques |
| title | “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft |
| title_full | “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft |
| title_fullStr | “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft |
| title_full_unstemmed | “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft |
| title_short | “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft |
| title_sort | owl technique for all arthroscopic augmentation of a massive or large rotator cuff tear with extracellular matrix graft |
| url | http://www.sciencedirect.com/science/article/pii/S2212628716000815 |
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