Why is transosseous arthroscopy considered the gold standard in rotator cuff repair?

The transosseous approach is generally recognized as the gold standard for surgical repair of the rotator cuff.

We can list here the main reasons:

  • Widely recognized by the scientific community
  • Numerous supporting publications
  • No hardware in the footprint
  • Possibility to decorticate
  • Larger tendon-bone contact area
  • Uniform force distribution – no load peaks
  • Biologically better repair

Transosseous Arthroscopy: advantages

What are the advantages for the patient? And for the physician?

With the transosseous approach, you have the ability to manage any type of rotator cuff injury.
Combined with a proper rehabilitation protocol, patients have a faster functional recovery and the rehabilitation phase has less pain than other comparable procedures.

On the other hand, for the physician, transosseous repair means:

  • Biologically better repair
  • Optimal management of revision cases, cysts and osteoporotic bone (with augmentation)
  • Cost-effective

Transosseous Arthroscopy: critical issues

But What are the main errors and critical issues that can be encountered?

As with other techniques, critical issues or steps that require a major learning curve may be encountered in TO.

We have identified the following:

  • How to load sutures in a Transosseous Tunnel
  • How to create multiple tunnels?
  • Converging tunnels, how to do it?
  • How to access the lateral part of the greater tuberosity: what are the difficulties when going distal, and can the axillary nerve be a problem?
  • Is tying the knot in a transosseous technique equivalent to the anchor approach?
  • What are the pitfalls with osteoporotic bones? Is there a way to overcome the problem?
  • Augmentation, as a remedy for suture slippage?
  • Identification of portals

Webinar: “Transosseous opportunity, a practical overview”

Together with Prof. Alessandro Castagna, Dr. Pol Hujisman and Dr. Claudio Chillemi we will talk about transosseous surgery in the rotator cuff on April 28th at 7 pm.

Based on their experience, we will give a complete overview of the different transosseous procedures with the aim of explaining the different techniques and their advantages by comparing our understanding with the professionals of the sector.

The meeting will be an opportunity to give a clear and comprehensive idea of the possibilities and advantages that this approach can bring, to both the medical and patient perspective.

Together with the professionals, the protagonists will be the Taylor Stitcher, the GT-Tunneler and the Dexter Training Model: all NCS’s surgical devices dedicated to transosseous.

Free webinar “Transosseous opportunity, a practical overview”
April 28 2021 | 7.00 -7.45 pm CET / 1.00– 1.45 pm EST
Registrati ora: https://ncs-company.com/en/

  • 19.00 Istitutional Welcome + Introduction (Ing. M. Mantovani)
  • 19.05 Re-live Taylor Stitcher (Prof. A .Castagna)
  • 19.10 Re-live GT-Tunneler (Dr. P. Huysmans)
  • 19.15 Re-live augmentation (Dr. C. Chillemi)
  • 19.20 Transosseous, the derby: how do I select my technique (A.Castagna vs P. Huysmans, moderator: Dr. C. Chillemi)
  • 19.40 Common mistakes in Transosseous on Dexter model
  • 19.50 Q&A