Scope Essentials 2024-Single Row Rotator Cuff Repair

Video Transcription

Video Summary

Dr. Arroyo, a sports medicine specialist, presents the single row rotator cuff repair technique, emphasizing its strength and effectiveness compared to double row methods. He explains that rotator cuff tears typically occur medial to the insertion, resulting in degenerative, avascular tendon edges. Key surgical steps include patient positioning, portal placement, rotator cuff debridement, and precise anchor placement lateral to the articular margin for strong fixation in dense bone. He advocates using triple-loaded anchors to maximize fixation points and careful suture management to avoid tension and maintain blood supply. Additionally, he incorporates bone marrow vents to promote biological healing and neo-tendon formation, supported by studies showing improved healing rates. Outcomes demonstrate a 92% healing rate on MRI with low re-tear incidence, highlighting single row repair as cost-effective and biologically favorable. Dr. Arroyo concludes that a tension-free single row repair with enhanced vascular support offers excellent, reliable results for rotator cuff repair.

Asset Caption

William Arroyo, M.D., FAANA

Keywords

single row rotator cuff repair

sports medicine

rotator cuff tears

triple-loaded anchors

biological healing