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- W2091272120 abstract "Introduction: During the early healing phase, abduction was postulated to result in lift-off with significant loss of tendon-to-bone (TTB) contact with single row repairs (SRR) as compared to transosseous-equivalent repairs (TOE). This would significantly compromise the ability of the tendon to heal. Materials and methods: Rotator cuff tears were created in the supraspinatus tendon of six fresh cadaveric human shoulders. A SRR was then performed using the OPUS AutoCuff System. ATekscan electronic pressure-sensor was placed between the supraspinatus tendon and bone and the sutures were tensioned with the shoulder in 0° abduction. The arm was then rested for 300 s (relaxation) before being passively moved twice through a range-of-motion (0–90°) abduction, 0–45° external and 0–45° internal rotation and finally returned to neutral. The contact force, pressure and area were recorded throughout each movement. The procedure was then repeated using two TOE techniques: with two parallel sutures (TOE-P) and with a cross over suture pattern (TOE-C). Results: TOE-P and TOE-C demonstrated no significant change in mean TTB contact pressure, force and area during abduction, external rotation and return to neutral when compared to the 300 s relaxation state. The SRR demonstrated a significant drop in contact force on abduction (−63%), and return to neutral (−43%) Discussion: Consistent TTB contact during the healing phase is thought to be vital. We showed a significant decrease in contact area with SRR during abduction and on return to neutral compared to the TOE repairs which remains unaltered." @default.
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- W2091272120 date "2009-01-01" @default.
- W2091272120 modified "2023-09-27" @default.
- W2091272120 title "Perilously poor tendon-to-bone contact occurs with rotator cuff repairs occur during passive arm movement with single versus double-row repairs: A cadaver study" @default.
- W2091272120 doi "https://doi.org/10.1016/j.jsams.2008.12.013" @default.
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