Arthroscopic reconstruction of the rotor cuff

Over the last years treatment of rotator cuff tears is evolving gradually from open to complete arthroscopic repair. There had been fast developments in arthroscopic techniques and instruments and there is a better understanding of biomechanical backgrounds. For a good clinical outcome it is not nec...

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Bibliographic Details
Published inDer Unfallchirurg Vol. 109; no. 8; pp. 619 - 627
Main Authors Bauer, G J, Kniesel, B
Format Journal Article
LanguageGerman
Published Germany 01.08.2006
Subjects
Arthroscopy
Humans
Rotator Cuff - pathology
Rotator Cuff - surgery
Rotator Cuff Injuries
Rupture
Suture Techniques
Tendon Injuries - diagnosis
Tendon Injuries - pathology
Tendon Injuries - surgery
Tendon Transfer - methods
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Summary:Over the last years treatment of rotator cuff tears is evolving gradually from open to complete arthroscopic repair. There had been fast developments in arthroscopic techniques and instruments and there is a better understanding of biomechanical backgrounds. For a good clinical outcome it is not necessary to obtain a watertight closure in all cases but to balance the force couples in the coronal and transverse plane. There is recent discussion regarding the optimum techniques and stitches for cuff reconstruction and resulting developments in this field. To determine the individual reconstruction technique it is crucial to recognize the different tear categories. Based on these findings we are now able to treat nearly every cuff tear arthroscopically, even a retracted massive lesion.
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ISSN:0177-5537
DOI:10.1007/s00113-006-1134-1