Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
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Repair Methods for Full Thickness Rotator Cuff Tears: Implications for PT
- 1. Repair methods for full thickness rotator cuff tears: Implications for PT
- 4. Are we currently achieving these goals?
- 8. Can we improve outcome with individualized PT?
- 22. Comparison of RC techniques Open RCR Mini-open All arthroscopic GH joint evaluation No Yes Yes Incision size 4-6 cm 3-4 cm 4-7 mm Deltoid surgical insult Moderate-Severe Small Minimal Early active motion No Variable Variable Early passive motion Yes Yes Variable Post-op pain Moderate-severe Moderate Mild
- 27. Fixation method based on ability to restore anatomy of RTC Insertion
- 29. Subscapularis Infraspinatus 1.76cm2 surface area of insertion Teres Minor Supraspinatus 1.55cm2 surface area of insertion Curtis et al. The Insertional Footprint of the Rotator Cuff: An Anatomic Study. Arthroscopy 2006 Dugas Anatomy and dimensions of rotator cuff insertions. JSES 2002 Supraspinatus 14.7mm med-lat FOOTPRINT ANATOMY-Restoration
- 33. Rotator Cuff Repair Types
- 41. Double Row Anchor Fixation Arthroscopic single row versus double row suture anchor rotator cuff repair Mazzocca AJSM 2005 ALL Double Row Repairs restored the footprint
- 48. Does Footprint Restoration Correlate to Improved Clinical Results?
- 53. RTC Repair: Should fixation affect post-op PT?
- 58. Thank You
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- For the single-row repair, average gap formation per 100 cycles in the positions of neutral, internal, and external humeral rotation was 1.47 ± 0.63, 3.11 ± 1.55, and 2.24 ± 0.94 mm, respectively. For the double-row repair, average gap formation per 100 cycles in the positions of neutral, internal, and external humeral rotation was 1.25 ± 0.54, 2.29 ± 1.10, and 1.57 ± 0.48 mm, respectively. For gapping averaged over all positions, the double-row repair had significantly less gapping than the single-row repair ( P = .0109); gapping was greatest for internal rotation, followed by external rotation, and least for neutral ( P < .0001).