AANA19 Surgery Simulcast Access Pass: Rotator Cuff Repair (Mighell/Barber/Brownson)-Rotator Cuff Repair: Live Surgery Simulcast

Video Transcription

Video Summary

This live surgery demonstration features Dr. Mark Mile performing a rotator cuff repair on a 56-year-old active male with a chronic tear resistant to six months of rehabilitation. Dr. Mile emphasizes meticulous preoperative skin preparation, including benzoyl peroxide washes and IV antibiotics, to reduce infection risks, particularly from bacteria like C. acnes common in testosterone users. The surgical technique employs a triple-loaded biocomposite anchor (Dynacord) with innovative self-tightening sutures designed to maintain tension postoperatively. The repair uses a rip-stop method alternating horizontal mattress and simple stitches for enhanced fixation without overtensioning the tendon. Knot tying is performed with secure locking techniques to prevent suture slippage, with detailed discussion of suture materials and knot preferences among surgeons. Postoperative management favors protected early controlled mobilization to promote healing, with doxycycline used post-op to reduce bacterial contamination and metalloproteinase activity. The surgeons also discuss indications for acromioplasty and tenodesis of the biceps if compromised. Dr. Mile highlights the importance of anchor placement, tissue quality, and balanced tension during repair, noting tough bone encountered during surgery. This comprehensive, interactive presentation showcases advanced rotator cuff repair techniques, pre- and post-op considerations, and surgeon insights into optimizing patient outcomes.

Asset Caption

Live Surgery Simulcast-Thursday, May 2nd, 2019 (Afternoon)

Keywords

rotator cuff repair

Dr. Mark Mile

preoperative skin preparation

biocomposite anchor

self-tightening sutures

postoperative mobilization

acromioplasty and tenodesis