A Simple Technique to Restore Tension of a Loose Suture Bridge During Rotator Cuff Repair: Save the Repair

Ewerton Borges de Souza Lima; Gabriel Paris de Godoy; Guilherme Ladeira Osés; Paulo Santoro Belangero; Alberto de Castro Pochini; Carlos Vicente Andreoli; Benno Ejnisman

doi:10.1016/j.eats.2021.11.009

A Simple Technique to Restore Tension of a Loose Suture Bridge During Rotator Cuff Repair: Save the Repair

Arthrosc Tech. 2022 Feb 18;11(3):e409-e411. doi: 10.1016/j.eats.2021.11.009. eCollection 2022 Mar.

Authors

Ewerton Borges de Souza Lima¹, Gabriel Paris de Godoy¹, Guilherme Ladeira Osés¹, Paulo Santoro Belangero¹, Alberto de Castro Pochini¹, Carlos Vicente Andreoli¹, Benno Ejnisman¹

Affiliation

¹ Sports Traumatology Center, Department of Orthopedics and Traumatology, Paulista Medical School, Federal University of São Paulo. R. Estado de Israel, São Paulo - SP, Brazil.

Abstract

The transosseous equivalent suture bridge technique has been widely used for rotator cuff repair, especially for large tears. During the fixation of the second lateral anchor, the first group of sutures may become loose due to anchor malposition or manual overtensioning of the second group of sutures. To restore the suture's tension, a spare suture from the second lateral anchor may be passed beneath the loose suture to tighten it with a simple knot. This technique has been shown to be easy and fast to perform and does not require extra material.