The rotator cuff consists of four muscles around the shoulder that help raise and rotate the arm. The most...
Evolution of Arthroscopic Repair
Repairing rotator cuff tears utilizes a type of suture made of threaded materials as well as anchors. Advances have led to the development of a suture material made of multi-stranded, long chain ultra-high molecular weight polyethylene core with a braided jacket of polyester. The quantity and pattern in which these sutures are used vary depending on surgeon preference and the characteristic/size of the tear. Once these sutures are passed through the tendon, the tendon must then be re-attached to its original location on the bone. This is done with suture anchors and can be made of metal or a biodegradable material.
The Arthrex SpeedBridge™ Rotator Cuff Repair system is an example of the latest advances in surgical technique that allows for great strength and reliability of rotator cuff repairs. This system includes bioabsorbable BioComposite SwiveLock suture anchors combined with FiberTape, a type of threaded suture material. The benefit of this system is that it can be done knotless, so that the strength and tension of the repair is more accurate and consistent by not relying on a provider’s ability to tie knots with the right tension.
Additionally, the pattern in which the FiberTrape is attached is called the double-row technique, which allows for a broad area of attachment of the tendon back to the bone to help with healing. Lastly, the bioabsorbable BioCompose suture anchors facilitate bony ingrowth resulting in improved insertion and pullout strength.