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Making the Transition from Mini-Open to All-Arthroscopic Repair

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Arthroscopic Rotator Cuff Surgery

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Abstract

Many challenges confront the surgeon contemplating transition from the established mini-open approach to an all-arthroscopic rotator cuff repair. Perhaps the greatest hurdle is philosophical rather than technical: Why convert? After all, mini-open repairs are cosmetically acceptable, provide adequate exposure, permit secure fixation via trans-osseous tunnels or anchors, can be performed expeditiously, and pose little risk of deltoid injury. Clinical results are well established, durable, and provide a consistently high rate of patient (and surgeon) satisfaction. Incontrast, arthroscopic repairs take longer, are more equipment intensive, more expensive, and have long learning curves, even among reasonably experienced arthroscopists. For those without considerable arthroscopic expertise or sufficient rotator cuff tear patient volume, the prospect of transitioning to arthroscopic repair may seem more imprudent than daunting.

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References

  1. Burkhart S. Point/counterpoint debate: cuff tears should be fixed arthroscopically. Paper presented at: Arthroscopy Association of North America Fall Meeting, December 2004.

    Google Scholar 

  2. Lo IK, Burkhart SS. The interval slide in continuity: a method of mobilizing the anterosuperior rotator cuff without disrupting the tear margins. Arthroscopy 2004;20:435–441.

    PubMed  Google Scholar 

  3. Tauro JC. Arthroscopic repair of large rotator cuff tears using the interval slide technique. Arthroscopy 2004;20:13–21.

    PubMed  Google Scholar 

  4. Burkhart SS, Danaceau SM, Pearce CE Jr. Arthroscopic rotator cuff repair: analysis of results by tear size and by repair technique-margin convergence versus direct tendon-to-bone repair. Arthroscopy 2001;17:905–912.

    PubMed  CAS  Google Scholar 

  5. Lo IK, Burkhart SS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy 2003;19:1035–1042.

    PubMed  Google Scholar 

  6. Baker CL, Whaley AL, Baker M. Arthroscopic rotator cuff tear repair. J Surg Orthop Adv 2003;12:175–190.

    PubMed  Google Scholar 

  7. Thomopoulos S, Williams GR, Soslowsky LJ. Tendon to bone healing: differences in biomechanical, structural, and compositional properties due to a range of activity levels. Biomech Eng 2003;125:106–113.

    Article  CAS  Google Scholar 

  8. Baysal D, Balyk R, Otto D, Luciak-Corea C, Beaupre L. Functional outcome and health-related quality of life after surgical repair of full-thickness rotator cuff tear using a mini-open technique. Am J Sports Med 2005;33:1346–1355.

    Article  PubMed  Google Scholar 

  9. Shinners TJ, Noordsij PG, Orwin JF. Arthroscopically assisted mini-open rotator cuff repair. Arthroscopy 2002;18:21–26.

    PubMed  Google Scholar 

  10. Hata Y, Saitoh S, Murakami N, Seki H, Nakatsuchi Y, Takaoka K. A less invasive surgery for rotator cuff tear: mini-open repair. J Shoulder Elbow Surg 2001;10:11–16.

    Article  PubMed  CAS  Google Scholar 

  11. Hersch JC, Sgaglione NA. Arthroscopically assisted mini-open rotator cuff repairs. Functional outcome at 2-to 7-year follow-up. Am J Sports Med 2000;28:301–311.

    PubMed  CAS  Google Scholar 

  12. Fealy S, Kingham TP, Altchek DW. Mini-open rotator cuff repair using a two-row fixation technique: outcomes analysis in patients with small, moderate, and large rotator cuff tears. Arthroscopy 2002;18:665–670.

    PubMed  Google Scholar 

  13. Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG. Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am 2005;87:1229–1240.

    Article  PubMed  Google Scholar 

  14. Gartsman GM, Khan M, Hammerman SM. Arthroscopic repair of full-thickness tears of the rotator cuff. J Bone Joint Surg Am 1998;80:832–840.

    PubMed  CAS  Google Scholar 

  15. Murray TS, Lajtai G, Mileski RM, Snyder SJ. Arthroscopic repair of medium to large full-thickness rotator cuff tears (outcome at 2-to 6-year follow-up). J Shoulder Elbow Surg 2002;11:19–24.

    Article  PubMed  Google Scholar 

  16. Tauro JC. Arthroscopic rotator cuff repair (analysis of technique and results at 2-and 3-year follow-up). Arthroscopy 1998;14:45–51.

    PubMed  CAS  Google Scholar 

  17. Wilson F, Hinov V, Adams G. Arthroscopic repair of full-thickness tears of the rotator cuff (2-to 14-year follow-up). Arthroscopy 2002;18:136–144.

    PubMed  Google Scholar 

  18. Wolf EM, Pennington WT, Agrawal V. Arthroscopic rotator cuff repair: 4-to 10-year results. Arthroscopy 2004;20:5–12.

    PubMed  Google Scholar 

  19. Park JY, Chung KT, Yoo MJ. A serial comparison of arthroscopic repairs for partial-and full-thickness rotator cuff tears. Arthroscopy 2004;20:705–711.

    PubMed  Google Scholar 

  20. Jones CK, Savoie FH 3rd. Arthroscopic repair of large and massive rotator cuff tears. Arthroscopy 2003;19:564–571.

    PubMed  Google Scholar 

  21. Buess E, Steuber KU, Waibl B. Open versus arthroscopic rotator cuff repair: a comparative view of 96 cases. Arthroscopy 2005;21:597–604.

    PubMed  Google Scholar 

  22. Kim SH, Ha KI, Park JH, Kang JS, Oh SK, Oh I. Arthroscopic versus mini-open salvage repair of the rotator cuff tear: outcome analysis at 2 to 6 years’ follow-up. Arthroscopy 2003;19:746–754.

    PubMed  Google Scholar 

  23. Severud EL, Ruotolo C, Abbott DD, Nottage WM. All-arthroscopic versus mini-open rotator cuff repair: a long-term retrospective outcome comparison. Arthroscopy 2003;19:234–238.

    PubMed  Google Scholar 

  24. Warner JJ, Tetreault P, Lehtinen J, Zurakowski D. Arthroscopic versus mini-open rotator cuff repair: a cohort comparison study. Arthroscopy 2005;21: 328–332.

    Article  PubMed  Google Scholar 

  25. Norberg FB, Field LD, Savoie FH 3rd. Repair of the rotator cuff. Mini-open and arthroscopic repairs. Clin Sports Med 2000;19:77–99.

    Article  PubMed  CAS  Google Scholar 

  26. Gleyze P, Thomazeau H, Flurin PH, Lafosse L, Gazielly DF, Allard M. Arthroscopic rotator cuff repair: a multicentric retrospective study of 87 cases with anatomical assessment [in French]. Rev Chir Orthop Reparatrice Appar Mot 2000;86:566–574.

    PubMed  CAS  Google Scholar 

  27. Wolf EM, Bayliss RW. Arthroscopic rotator cuff repair clinical and arthroscopic second-look assessment. In: Gazielly DF, Gleyze P, Thomas T, editors. The cuff. Paris: Elsevier; 1996:319.

    Google Scholar 

  28. Galatz LM, Ball CM, Teefey SA, Middleton WD, Yamaguchi K. The outcome and repair integrity of completely arthroscopically repaired large and massive rotator cuff tears. J Bone Joint Surg Am 2004;86:219–224.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. DC Sports Medicine Institute, Washington, DC, 20006, USA

    Benjamin S. Shaffer MD (Director)

Authors
  1. Benjamin S. Shaffer MD
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Seton Hall University School of Graduate Medical Education, Orange, NJ

    Jeffrey S. Abrams MD (Clinical Associate Professor, Associate Director) (Clinical Associate Professor, Associate Director)

  2. Princeton Orthopaedic and Rehabilitation Associates, Princeton, NJ, 08540, USA

    Jeffrey S. Abrams MD (Clinical Associate Professor, Associate Director) (Clinical Associate Professor, Associate Director)

  3. School of Medicine, Northeastern Ohio Universities, Rootstown, OH

    Robert H. Bell MD (Associate Professor, Division Chief Shoulder and Elbow) (Associate Professor, Division Chief Shoulder and Elbow)

  4. Department of Orthopaedics, Summa Health System, Akron, OH

    Robert H. Bell MD (Associate Professor, Division Chief Shoulder and Elbow) (Associate Professor, Division Chief Shoulder and Elbow)

  5. Crystal Clinic, Inc., Akron, OH, 44333, USA

    Robert H. Bell MD (Associate Professor, Division Chief Shoulder and Elbow) (Associate Professor, Division Chief Shoulder and Elbow)

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Shaffer, B.S. (2008). Making the Transition from Mini-Open to All-Arthroscopic Repair. In: Abrams, J.S., Bell, R.H. (eds) Arthroscopic Rotator Cuff Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-39343-8_2

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  • DOI: https://doi.org/10.1007/978-0-387-39343-8_2

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-39340-7

  • Online ISBN: 978-0-387-39343-8

  • eBook Packages: MedicineMedicine (R0)

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