Open transosseous rotator cuff repair was traditionally the gold standard technique for repair of the torn rotator cuff. All-arthroscopic transosseous (anchorless) rotator cuff repair is an exciting breakthrough over the last decade that combines the advantages of open techniques with a minimally invasive approach. It offers simple, biomechanically reliable, and anatomic tendon-to-bone healing. This all-arthroscopic anchorless approach also uniquely preserves bone tuberosity if a revision procedure ever becomes necessary.
Keywords: all-arthroscopic rotator cuff repair, anchorless, rotator cuff tear, transosseous
The case and the scope of this chapter demonstrates a step-by-step instructional video guide (? Video 13.1) featuring the senior author?s novel all-arthroscopic anchorless transosseous rotator cuff repair technique. The presented case specifically highlights key elements for a combined supraspinatus and anterior infraspinatus ?L?-shaped complete tendon tear.
Chapter sections are the history, physical examination findings, preoperative radiologic findings, operative planning, patient positioning, preoperative work-up and equipments, intraoperative findings, technical steps, tips and pearls, postoperative period, physical therapy and rehabilitation, final functional status of the patient, and scientific evidence.1
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