JBJS | Transitioning to Arthroscopic Rotator Cuff Repair: The Pros and Cons

The Journal of Bone & Joint Surgery, Volume 85, Issue 1

Instructional Course Lecture | January 01, 2003

Transitioning to Arthroscopic Rotator Cuff Repair: The Pros and Cons

Ken Yamaguchi, MD; William N. Levine, MD; Guido Marra, MD; Leesa M. Galatz, MD; Steven Klepps, MD; Evan Flatow, MD

The Journal of Bone & Joint Surgery. 2003; 85:144-155

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There has been much recent enthusiasm regarding complete arthroscopic rotator cuff repair, and it is becoming apparent that, for many, this newer technique may be a preferable alternative to the more traditional mini-open rotator cuff repair. Several short-term studies have demonstrated that complete arthroscopic repair has excellent results comparable with those of mini-open repair ^1-10 , which is also an excellent technique. The choice of which procedure may be better for an individual patient or surgeon can be based on a variety of considerations, including the patient's expectations, the pathoanatomy of the cuff, and the surgical experience of the surgeon. In this Instructional Course Lecture, the relative merits and disadvantages of arthroscopic rotator cuff repair are discussed on the basis of those considerations. When a surgeon is deciding which procedure to perform, it is important that the basic principles of rotator cuff repair not be compromised and that he or she perform the procedure that is most reproducible given his or her level of experience; however, for those who are now utilizing mini-open repair, arthroscopic repair may have important advantages and may be worth pursuing in the future. If a surgeon chooses to obtain the skills necessary to perform a complete arthroscopic repair, performance of the mini-open procedure offers an excellent opportunity to make an orderly transition.

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Topics

rotator cuff repair ; sutures ; rotator cuff ; deltoid muscle ; tendon

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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