Technique of double row rot cuff repair Manos Antonogiannakis Director Center for shoulder arthroscopy IASO General Hospital Athens, Greece.

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Presentation transcript:

Technique of double row rot cuff repair Manos Antonogiannakis Director Center for shoulder arthroscopy IASO General Hospital Athens, Greece

44 year old Over head worker Pain after a fall 30 days ago Pain and inability to raise his arm MRI: complete tear of supraspinatus extending to infraspinatus

Joint Side Inspection

Bursal Side Inspection-Bursectomy

Bursa excision – Tendon mobilization

Tendon debridement- Tear morphology recognition

Tendon debridement

Final Inspection of the tear

Checking the mobility and elasticity of the tendons

Acromioplasty

Mobilization of the Articular Part of the Rotator Cuff

Tuberoplasty

1 st Anchor Insertion – Medial Row

1 st suture passage- Medial row - mattress

2 nd suture passage- Medial row - mattress

4rd suture passage- Medial row - mattress

2 nd Anchor Insertion – Medial Row

suture passage- Medial row – post. anchor

Suture inspection – medial row - mattress

Lateral Row 1 st Anchor Insertion

Lateral Row Suture Passage

Lateral Row 2 nd Anchor Insertion

Lateral Row Suture Passage

Inspection of all the sutures

Knot Tying Lateral Row

Knot Tying Mattress Medial Row

Knot Tying Lateral Row

Knot Tying Mattress Medial Row

Final Repair

Inspection from the Glenohumeral Joint

Thank you for your attention