Transosseousequivalent
Transosseousequivalent, also known as transosseous-equivalent rotator cuff repair, is an arthroscopic technique used to repair tears of the supraspinatus and other rotator cuff tendons. It aims to reproduce the footprint coverage and healing potential of traditional transosseous repair while using suture anchors in a double-row construct. The approach creates a medial row of anchors near the articular margin and a lateral row farther laterally, generating a suture bridge that compresses the tendon onto the bone across the entire footprint.
In typical execution, medial-row sutures are passed through the torn tendon edge and secured by anchors placed
Indications generally include full-thickness rotator cuff tears and select large or retracted tears where a robust
Advantages commonly cited include larger tendon-bone contact area, improved initial fixation strength, and avoidance of bone
The transosseousequivalent approach emerged in the early 2000s as part of the evolution of arthroscopic rotator