Anchorless Arthroscopic Transosseous Rotator Cuff Repair & Biceps Tenodesis
Equivalent to better outcomes, less pain / use of opioids, improved patient satisfaction scores - at significantly less cost.
Equivalent to better outcomes, less pain / use of opioids, improved patient satisfaction scores - at significantly less cost.
"Tensor Surgical's Transosseous repair system is absolutely my first choice for a standard rotator cuff repair. I am a rotator cuff specialist and had excellent results before using Tensor. But now the results are clearly superior to my technique with anchors. I am continually impressed with how early patients feel well and recover their motion. Imaging of the repairs consistently confirms excellent healing. It is clearly superior biologically for healing and reduces the cost of care dramatically compared to anchors." Paul Roache, MD, FAANA, FAAOS | San Francisco
Nicholas Capito, MD, FAAOS | Augusta, GA
By obviating the need for suture anchors, transosseous repairs significantly reduce implant costs leading to overall cost savings.
Transosseous procedures are economical, as they do not require the use of costly anchors, without significant differences in operative time compared to anchor-based repairs.
Suture anchors can lead to complications such as bone cysts, osteolysis, anchor migration, and challenges during revision surgeries. Transosseous techniques avoid these issues by eliminating the need for anchors.
Transosseous repair techniques allow for direct tendon-to-bone contact, facilitating anatomical reconstruction of the Rotator Cuff footprint. This direct apposition is crucial for effective biological healing.
One of the critical advantages of arthroscopic transosseous rotator cuff repair is the preservation and enhancement of blood flow to the repair site. Tendon healing relies on an adequate vascular supply to deliver nutrients and growth factors essential for biological integration. Tensor's TransOs Tunneler and surgical technique contribute
One of the critical advantages of arthroscopic transosseous rotator cuff repair is the preservation and enhancement of blood flow to the repair site. Tendon healing relies on an adequate vascular supply to deliver nutrients and growth factors essential for biological integration. Tensor's TransOs Tunneler and surgical technique contribute to improved blood flow through:
1. Avoidance of Hardware Barriers:
• Suture anchors used in pseudo-transosseous repairs can create mechanical and spatial barriers that limit vascular ingrowth at the tendon-bone interface.
• Transosseous techniques eliminate hardware in the critical healing zone, allowing for uninterrupted blood flow to the repair site.
2. Preservation of Bone Channels:
• The creation of transosseous tunnels allows for a more natural interaction between the tendon and the underlying cancellous bone, which is rich in vascular supply.
• This configuration facilitates the migration of osteogenic and angiogenic factors, promoting biologically superior healing.
3. Minimized Bone Disruption:
• Suture anchors often require larger and deeper drilling into cortical bone, potentially damaging vascular pathways and compromising healing.
• Arthroscopic transosseous repairs with Tensor's TransOs Tunneler use smaller, more precise tunnels that preserve bone structure and vascularity.
Transosseous repairs distribute mechanical loads more evenly across the tendon-bone interface, reducing stress concentrations that can lead to re-tears.
Biomechanical studies indicate that transosseous techniques provide higher pressure of the tendon against the bone and less stress concentration within the tendon compared to suture anchor methods.
Mark Lazarus, MD (Rothman Orthopaedics, Philadelphia, PA) uses Tensor Surgical's TransOs Tunneler for anchorless Rotator Cuff repair and Biceps Tenodesis
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