Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears Alan M. Hirahara, M.D., F.R.C.S.C., Christopher.

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Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears Alan M. Hirahara, M.D., F.R.C.S.C., Christopher R.

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Presentation transcript:

Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears Alan M. Hirahara, M.D., F.R.C.S.C., Christopher R. Adams, M.D. Arthroscopy Techniques Volume 4, Issue 6, Pages e637-e641 (December 2015) DOI: 10.1016/j.eats.2015.07.006 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 After placement of 2 superior glenoid and 2 medial greater tuberosity anchors (right shoulder, beach-chair position, posterolateral viewing portal). Arthroscopy Techniques 2015 4, e637-e641DOI: (10.1016/j.eats.2015.07.006) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 Preparation of ArthroFlex graft based on intra-articular measurements from each anchor. Arthroscopy Techniques 2015 4, e637-e641DOI: (10.1016/j.eats.2015.07.006) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 All of the sutures from the glenoid and greater tuberosity anchors are passed through the appropriate holes in the graft (right shoulder, beach-chair position). Arthroscopy Techniques 2015 4, e637-e641DOI: (10.1016/j.eats.2015.07.006) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 One suture limb from each glenoid anchor is tied together with the double-pulley technique (right shoulder, beach-chair position). In a similar fashion, 1 FiberWire suture limb from each greater tuberosity anchor is tied together with the double-pulley technique to aid in graft passage, positioning, and security. Arthroscopy Techniques 2015 4, e637-e641DOI: (10.1016/j.eats.2015.07.006) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Completed SpeedBridge component of arthroscopic superior capsular reconstruction (right shoulder, beach-chair position, posterolateral viewing portal). Arthroscopy Techniques 2015 4, e637-e641DOI: (10.1016/j.eats.2015.07.006) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 6 Final reconstruction of superior capsule with anterior and posterior margin-convergence sutures between graft and native rotator interval tissue and between graft and native infraspinatus tendon, respectively (right shoulder, beach-chair position, posterolateral viewing portal). Arthroscopy Techniques 2015 4, e637-e641DOI: (10.1016/j.eats.2015.07.006) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions