Transosseous cuff repair

When you tear the rotator cuff in your shoulder, the function of the entire arm is severely reduced. The arm becomes weak and impossible to raise. Heavy pains during the night will deprive you of sleep. For more than sixty years the cuff has been successfully repaired via tunnels drilled through the humerus bone. In the past, when surgeons needed to access the shoulder they had to loosen up the deltoid muscle. After this open surgery, nearly one quarter of all patients experienced unpleasant stiffness of their shoulders, and this condition required further surgery.

Arthroscopic shoulder surgeries started thirty years ago. The shoulder is inspected with a camera inserted through a small opening, which, along with the opening for inserting the surgical tool, leaves just very tiny scars. The stiffness issue has been sorted, and nowadays it is a problem in just a few patients. However, a new issue has emerged. It is not so easy to prepare the tunnels. This is why we started using the so-called anchors, which can be either metal or plastic. But with the anchors there is the problem that as they are firmly nailed in the bone, they hurt more than the tunnels after the surgery. And moreover they take up the most valuable space in the bone – right at the point where the tendon needs to reattach.

Some orthopaedists did not give up though, and keep developing more and more sophisticated tools enabling arthroscopic preparation of the tunnels. Our newest tool does this in a highly precise and reliable way. We are thrilled to see our patients reporting just minor pains after their surgery. After just a few days they can sleep and dream again without any problems.