Rotator Cuff Repair (Open/Arthroscopic)
Open versus arthroscopic repair.
Open repair involves disrupting the deltoid muscle. Repair is via per-osseous sutures to a bony trough.
Arthroscopic repair of even large tears can be achieved with two portals, minimizing deltoid injury. Repair is via suture anchors. Double-row anchor techniques provide a footprint repair.
Arthroscopic rotator cuff repair has results comparable to open repair, but has the advantages of less damage to deltoid, less pain, smaller scars, more rapid recovery with fewer adhesions, and in experienced hands the surgery is quicker. In addition, any other intra-articular pathology can be dealt with.