Repair of rotator cuff injuries using transosseous tunnels. Introduction to the technique, devices and other relevant points.

Acta ortopedica mexicana Pub Date : 2025-07-01
M Ruiz-Suárez, B Stanford-Sanders, M Solís-Olguín
{"title":"Repair of rotator cuff injuries using transosseous tunnels. Introduction to the technique, devices and other relevant points.","authors":"M Ruiz-Suárez, B Stanford-Sanders, M Solís-Olguín","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Rotator cuff injuries are common and procedures of repair have evolved from open techniques to minimally invasive and arthroscopic ones. Despite these advances, the biomechanics, biology, and value of transosseous repairs remain superior, leading to the development of innovative devices that enable the utilization of this technique without the use of anchors, improving both the efficiency and safety of the procedure. This article reviews the latest advances in transosseous rotator cuff repair, highlighting its biomechanical advantages, as well as the factors that enhance recovery and offer more consistent long-term outcomes. In addition, the surgical technique developed by Dr. Brett Sanders is analyzed. This technique eliminates or reduces the use of anchors with a specialized reusable device, depending on the clinical scenario and surgeon discretion. Besides, not only presents biomechanical benefits but also offers economic and clinical advantages, especially in developing countries where access to advanced treatments may be limited. Comparative studies between transosseous and transosseous-equivalent techniques have demonstrated a significant reduction in postoperative pain and statistically equivalent or superior long-term clinical outcomes with the arthroscopic transosseous tunnel technique (ATOT), reinforcing its viability as a superior option for value-based care. Finally, a detailed economic analysis is presented, showing significant cost savings in surgical procedures which could greatly benefit public healthcare systems in Latin America, highlighting advanced suture management that would enhance rotator cuff repair.</p>","PeriodicalId":101296,"journal":{"name":"Acta ortopedica mexicana","volume":"39 4","pages":"252-260"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta ortopedica mexicana","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Rotator cuff injuries are common and procedures of repair have evolved from open techniques to minimally invasive and arthroscopic ones. Despite these advances, the biomechanics, biology, and value of transosseous repairs remain superior, leading to the development of innovative devices that enable the utilization of this technique without the use of anchors, improving both the efficiency and safety of the procedure. This article reviews the latest advances in transosseous rotator cuff repair, highlighting its biomechanical advantages, as well as the factors that enhance recovery and offer more consistent long-term outcomes. In addition, the surgical technique developed by Dr. Brett Sanders is analyzed. This technique eliminates or reduces the use of anchors with a specialized reusable device, depending on the clinical scenario and surgeon discretion. Besides, not only presents biomechanical benefits but also offers economic and clinical advantages, especially in developing countries where access to advanced treatments may be limited. Comparative studies between transosseous and transosseous-equivalent techniques have demonstrated a significant reduction in postoperative pain and statistically equivalent or superior long-term clinical outcomes with the arthroscopic transosseous tunnel technique (ATOT), reinforcing its viability as a superior option for value-based care. Finally, a detailed economic analysis is presented, showing significant cost savings in surgical procedures which could greatly benefit public healthcare systems in Latin America, highlighting advanced suture management that would enhance rotator cuff repair.

经骨隧道修复肩袖损伤。介绍工艺、设备及其他相关要点。
肩袖损伤是常见的,修复程序已经从开放技术发展到微创和关节镜技术。尽管取得了这些进展,但经骨修复的生物力学、生物学和价值仍然是优越的,这导致了创新设备的发展,使该技术的使用无需使用锚钉,从而提高了手术的效率和安全性。本文回顾了经骨肩袖修复的最新进展,强调了其生物力学优势,以及增强恢复和提供更一致的长期结果的因素。此外,对Brett Sanders博士开发的手术技术进行了分析。根据临床情况和外科医生的判断,该技术消除或减少了使用专用可重复使用装置的锚。此外,它不仅具有生物力学效益,而且具有经济和临床优势,特别是在发展中国家,那里获得先进治疗的机会可能有限。经骨和经骨等效技术之间的比较研究表明,关节镜下经骨隧道技术(ATOT)可以显著减少术后疼痛,并且在统计上相当或优于长期临床结果,这加强了其作为基于价值的护理的优越选择的可行性。最后,详细的经济分析显示,外科手术的显著成本节约可以极大地有利于拉丁美洲的公共医疗保健系统,强调先进的缝合管理将加强肩袖修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信