scholarly journals Double Row Knotted "Trident": 1 Suture Technique for Superior to Posterosuperior Small Cuff Tear

2021 ◽  
Vol 10 (3) ◽  
pp. e739-e742
Author(s):  
Paul Commeil ◽  
Edouard Harly ◽  
Yves Bouju
2017 ◽  
Vol 13 (10) ◽  
pp. S80
Author(s):  
Almino Ramos ◽  
Manoela Ramos ◽  
Thales Galvão ◽  
Nestor Bertin ◽  
Raphael Lucena ◽  
...  

2020 ◽  
Vol 8 (3) ◽  
pp. 232596712090680
Author(s):  
Brandon J. Erickson ◽  
Yousef Shishani ◽  
Meghan E. Bishop ◽  
Midhat Patel ◽  
Stacy Jones ◽  
...  

Background: Treatment of the subscapularis in reverse total shoulder arthroplasty (RTSA) is a controversial topic, with conflicting evidence regarding outcomes after repair. Purpose/Hypothesis: The purpose of this study was to report clinical and sonographic outcomes of a through-implant double-row suture technique for subscapularis repair in RTSA and to compare clinical outcomes and range of motion (ROM) between patients with an intact subscapularis tendon repair versus those whose tendon repair was not intact. The authors hypothesized that the novel repair technique would find more than 80% of tendons intact on ultrasound, with significant improvement in clinical outcome scores and ROM. The authors also hypothesized that patients with an intact subscapularis tendon repair would have better clinical outcomes compared with those with a nonintact tendon repair. Study Design: Case series; Level of evidence, 4. Methods: The study included all patients who underwent RTSA by 1 of 2 surgeons between August 2016 and March 2017 with the through-implant double-row suture technique for subscapularis repair. Subscapularis tendon integrity was assessed postoperatively via ultrasound at minimum 1-year follow-up. American Shoulder and Elbow Surgeons (ASES), Single Assessment Numeric Evaluation (SANE), and pain visual analog scale (VAS) scores were recorded at the final follow-up visit in addition to ROM measures. Results: A total of 48 patients (31 males, 17 females; mean age, 68.9 ± 7.4 years; mean follow-up, 13.8 ± 2.1 months) were included. On ultrasound, the subscapularis was intact in 83.3% of patients. Regarding preoperative versus postoperative outcome scores, the ASES score (mean ± SD) significantly improved from 38.3 ± 14.7 to 81.9 ± 13.6, the SANE score significantly improved from 29.8 ± 24.2 to 75.5 ± 21.0, and the VAS pain score significantly improved from 5.9 ± 2.1 to 1.2 ± 1.6 ( P < .001 for all). Forward flexion and external rotation significantly improved. No significant difference existed in clinical outcome scores or ROM between patients with intact versus torn subscapularis tendons based on ultrasound. Conclusion: Subscapularis repair using a stem-based double-row repair technique during RTSA demonstrated an overall healing rate of 83.3%, as evidenced by ultrasound examination at short-term follow-up. Integrity of subscapularis repair did not affect clinical outcome or ROM.


2021 ◽  
Vol 20 (1) ◽  
pp. 162-167
Author(s):  
A.I. Ishchenko ◽  
◽  
A.V. Murashko ◽  
A.I. Davydov ◽  
M.G. Sonich ◽  
...  

Objective. To improve the technique for cesarean section and reduce the incidence of postoperative complications using selflocking surgical (anchor) sutures. Design and results. The study involved 86 patients who underwent cesarean delivery at the age from 18 to 40 years, similar in demographic parameters, somatic status, parity, pregnancy complications and the number of cesarean sections in history. Two groups of patients were allocated: the first (main) group – 46 women, in whom a double-sided single-row suture with a selflocking suture anchor without reverse tip was used to repair a wound on the uterus (patent RU2729747C1); the second (comparison group) – 40 women; a double-row suture to repair the uterine wound involving multifilament sutures was used. For a number of characteristics (the duration of operation, the duration of suturing of the uterus, the restoration of physical activity during the first day, the need for analgesics, the activity of reparative processes in the myometrium), the advantage of a singlerow suture anchor was noted. Conclusion. The developed method provides conditions for the activation of reparative processes in the myometrium and potentiates rapid rehabilitation of patients after surgery. However, further research is needed to introduce the method into widespread clinical practice. Key words: cesarean section, incompetent uterine scar, isthmocele, double-sided single-row suture, self-locking suture anchor


2013 ◽  
Vol 7 (2) ◽  
pp. 46 ◽  
Author(s):  
KennethJ Faber ◽  
AngelaE Kedgley ◽  
BenjaminJ Shore ◽  
JamesA Johnson ◽  
GeorgeS Athwal

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