AANA19 Surgery Simulcast Access Pass: Rotator Cuff Repair (Echols/Ryu)-Rotator Cuff Repair: Live Surgery Simulcast

Video Transcription

Video Summary

Dr. Eddie Echols demonstrated a live rotator cuff repair using Arthrex's SpeedBridge technique at Florida Hospital Carolwood. The patient had a full-thickness tear, exacerbated during a bowling incident, with a history of a prior biceps rupture. Dr. Echols detailed portal placements, debriding, mobilizing the cuff, and preparing the bone for anchor placement. He used 4.75 mm biocomposite SwivelLock anchors loaded with fiber tape for a double-row repair, emphasizing proper suture spacing and tension without medial knot tying to avoid overtightening. The procedure included subacromial decompression and acromioplasty. Postoperatively, patients are immobilized with a sling and abduction pillow for six weeks; therapy starts passively at 10-14 days, progressing cautiously to active and strengthening phases. Large, retracted tears may necessitate a more conservative rehab and delayed therapy. Anti-inflammatories are avoided early to not disrupt healing. Single-row repair remains an option for small, non-retracted tears. The live session highlighted surgical technique, decision-making, and rehab protocols.

Asset Caption

Live Surgery Simulcast-Friday, May 3rd, 2019

Keywords

rotator cuff repair

SpeedBridge technique

biocomposite SwivelLock anchors

double-row repair

subacromial decompression

postoperative rehabilitation