[Open double-row rotator cuff repair using the LASA-DR screw].

OBJECTIVE

Safe and cost-effective rotator-cuff repair.

INDICATION: All types of rotator cuff lesions.

CONTRAINDICATIONS: Frozen shoulder, rotator cuff mass defect, defect arthropathy.

SURGICAL TECHNIQUE: Extensive four-point fixation on the bony footprint is performed using the double-row lateral augmentation screw anchor (LASA-DR) with high biomechanical stability. Following mobilization of the tendons, these are refixed in the desired configuration first medially and then laterally. To this end, two drilling channels (footprint and lateral tubercle) are created for each screw. Using the shuttle technique, a suture anchor screw is reinforced with up to four pairs of threads. The medial row is then pierced and tied, and the sutures that have been left long are tied laterally around the screw heads (double row).

POSTOPERATIVE MANAGEMENT: 4 Weeks abduction pillow, resulting in passive physiotherapy, followed by initiation of active assisted physiotherapy. Full weight-bearing after 4-6 months.

RESULTS

Prospective analysis of 35 consecutive Bateman-III lesions with excellent results and low rerupture rate (6%).