Editorial Commentary: Take What You're Given and Play the Best Shot You Can: The Load-Sharing Rip-Stop for Arthroscopic Repair of Retracted and Poor-Quality Rotator Cuff Tendon Tissue |
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| Institution: | 1. Etzelclinic, Pfäffikon, Switzerland;2. Upper Limb Department, St. Luke''s Hospital, Bielsko-Biala, Poland;3. Hôpital privé la Châtaigneraie, Beaumont, France;4. Shoulder and Elbow Service, Hôpital de Hautepierre, Les Hôpitaux Universitaires de Strasbourg, Strasbourg, France;5. Groupe Maussins Ramsay Générale de Santé, Paris, France;6. Hopital Privé J Mermoz, Lyon, France;7. Clinique Générale, Annecy, France;1. Department of Radiology, NYU Langone Health, Langone Orthopedic Hospital, New York, New York, U.S.A.;2. Department of Radiology, Division of Musculoskeletal Radiology, Center for Musculoskeletal Care, NYU Langone Medical Center, New York, New York, U.S.A.;3. Department of Orthopaedic Surgery, NYU Langone Health, Langone Orthopedic Hospital, New York, New York, U.S.A.;1. University of Connecticut Health Center, Farmington, Connecticut, U.S.A.;2. University of Rochester, Rochester, New York, U.S.A.;1. Sports Medicine Center, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.;2. Cartilage Repair Center and Center for Regenerative Medicine, Brigham and Women''s Hospital, Boston, Massachusetts, U.S.A.;3. Universidade Federal de São Paulo, São Paulo, Brazil;4. Brigham and Women''s Hospital, Boston, Massachusetts, U.S.A.;5. Hospital for Special Surgery, New York, New York, U.S.A. |
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| Abstract: | The surgical management of chronic, large to massive rotator cuff tears is frequently complicated by the presence of retracted, poor-quality tendon tissue, and a number of adjunct techniques have been described to assist the surgeon in mobilizing tissues while minimizing the amount of tension placed on the final repair. The load-sharing rip-stop suture configuration is one such adjunct, and biomechanical data suggest that this construct may be superior to other suture configurations and may be associated with improved rotator cuff repair healing rates in situations that preclude a linked double-row repair. |
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