A Combined Rip-Stop and Double-Pulley Technique in Arthroscopic Suture-Bridge Repair

Rotator cuff tear is one of the most common upper-extremity pathologies and often requires repair. The pursuit of optimal arthroscopic rotator cuff repair has spurred numerous technical innovations and stitch-pattern refinements. First, the double-pulley construct can increase tendon-bone compressio...

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Bibliographic Details
Main Authors: Jianhao Xie, M.D., Yiming Zhu, M.D.
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003943
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Summary:Rotator cuff tear is one of the most common upper-extremity pathologies and often requires repair. The pursuit of optimal arthroscopic rotator cuff repair has spurred numerous technical innovations and stitch-pattern refinements. First, the double-pulley construct can increase tendon-bone compression and provide a joint seal. Second, the rip-stop configuration can reduce the possibility of tendon cut-through and improve the biomechanical properties of the fixation. Thus, an alternative method is introduced by incorporating both techniques simultaneously into arthroscopic suture-bridge repair, in which the medial double-pulley construct assumes the function of a rip-stop. This method may improve the biology of tendon healing and reduce the retear rate after rotator cuff repair.
ISSN:2212-6287