Successful early mobilization of major cuff repair using a suture post

Journal of Shoulder and Elbow Surgery
Robert N AtkinsonQuentin A Fogg

Abstract

Repair of massive rotator cuff tears in the elderly can be challenging because of degenerative, retracted, and contracted tendons producing an extensive defect. The quality of the tendon and particularly the bone of the proximal humerus is an inherent weakness in the repaired construct. We report a method that secures the rotator cuff to a fixation post placed in cortical bone at the surgical neck of the humerus, bypassing the weakest point. This is an evolution of techniques designed to fix to the greater tuberosity. We reviewed 32 repairs (16 men and 14 women; mean age, 68 years) with a minimum of 2 years' follow-up (mean, 4.3 years). Constant scores improved from a mean of 27.9 preoperatively to 78.2 postoperatively. Pain scores improved from 8.2 to 1.9, with 87% of patients being satisfied with the results of surgery. This is a robust construct that is easily learned and able to solve a technical problem.

References

Jan 1, 1987·Clinical Orthopaedics and Related Research·C R Constant, A H Murley
Mar 1, 1983·Clinical Orthopaedics and Related Research·C S Neer
Mar 1, 1994·The American Journal of Sports Medicine·E M GobleR E Olsen
Jan 1, 1996·Journal of Shoulder and Elbow Surgery·D V CraftP C Noble
May 1, 1997·The Journal of Bone and Joint Surgery. British Volume·D J RossouwR J Emery
Mar 29, 2000·The Orthopedic Clinics of North America·J K MantoneJ Noonan
Jan 13, 2001·Journal of Shoulder and Elbow Surgery·P A Davidson, D W Rivenburgh
Mar 1, 1994·Journal of Shoulder and Elbow Surgery·T J MontgomeryF H Savoie

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Citations

Jan 11, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Shane J NhoJohn D MacGillivray
Mar 3, 2020·Techniques in Hand & Upper Extremity Surgery·Adam M GordonKanu S Goyal

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