Latero-Lateral Sutures in Arthroscopic Management of Massive Rotator Cuff Tears Surgical Rationale

Description

In this informative video, Dr. Sergio Rowinski from SHOULDERPLANET in São Paulo, Brazil, discusses an innovative approach to treating massive rotator cuff lesions using the latero-lateral sutures method and margin conversion technique. The video begins with a warm introduction and a quick overview of the challenges posed by large rotator cuff tears, highlighting the evolution of arthroscopy as an effective means of treatment.



Dr. Rowinski presents a case study of a 68-year-old woman suffering from a massive rotator cuff tear in her left shoulder, as seen in MRI scans. The surgical procedure is shown in detail, starting from the establishment of the anterior portal to a thorough inspection and cleaning of the shoulder joint's interior, which includes synovectomy and biceps tenodesis due to observed synovitis.



Through various stages of the arthroscopy, the procedure is demonstrated clearly, showing how the damaged tendons are handled and how the doctor meticulously creates a bony bed on the greater tuberosity to secure anchors for tendon repair. The video emphasizes the use of specialized devices like the EXPRESSEW to facilitate suture placement, providing a comprehensive visual guide of each step as the tendons are brought back into place and fixed securely.



The successful outcome is visualized as the doctor concludes the surgery, displaying the robust construction achieved within the joint. The video wraps up with Dr. Rowinski encouraging viewers to engage with the content by commenting, liking, and sharing, reinforcing the motto to 'never stop flying' in their journey towards better shoulder health.

DOI: 10.1302/3114-221251

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