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Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD

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Mohammad nasir Naderi, MD

Hassan Kyhanshokouh, MD

Masoud Modersi, MD

Farid Sattarzadeh, MD

results comparable to open repair

better visualization of RC

Less deltoid morbidity

shorter hospital stay

Page 3: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Rigid fixation to bone

Problems with anchors :

incorrect placement

migration after placement

loosening or breakage of anchors

Cost !

Page 4: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Fixation of RC directly to bone

is an ideal method especially

by arthroscopic method

Transossous fixation

Page 5: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Arthroscopic Transosseous Rotator Cuff Repair. Kyung-Cheon Kim, et al ORTHOPEDICS April 2008;31(4):327.

Page 6: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Arthroscopic bone needle

Page 7: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Sumant G. Butch Krishnan

Pellegrini A., et al

Arthroscopic Rotator Cuff Tear Transosseous Repair System: The Sharc-FT Using the Taylor Stitcher Arthroscopy Techniques, Vol 4, No 3 (June), 2015: pp e201-e205

Page 11: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Page 12: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

from 2010 to 2015 , 83 cases

mean age = 52.8 years (range 37 to 70 y.)

M/F = 42/41 , Rt shoulder =48 cases

(76 cases) had large to massive tear

In 14 patients subscapularis was involved

follow up time = 11 month (6 – 24 m.)

Page 13: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Only in 4 case anchor was used with transosseous repair

In 2 case with massive cuff tear partially repaired

Constant score & Shoulder strength increased

No infection

ROM limited in 9 patients

cost of operation was lower

Technically more difficult

Results

Page 14: Mohammad nasir Naderi, MD Hassan Kyhanshokouh, MD … fileHassan Kyhanshokouh, MD Masoud Modersi, MD Farid Sattarzadeh, MD ... Pellegrini A., et al Arthroscopic Rotator Cuff Tear Transosseous

Arthroscopic transosseous repair

A valuable option in cuff repair

No use of anchor

Primary results promising

Thank you for attention

longer learning curve

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