<p>Christopher Adams, MD, (Naples, FL) performs both a single-row and double-row SpeedBridge™ rotator cuff repair on the same cadaveric shoulder and then compares the footprint reconstruction of each technique. Dr. Adams shows that the single-row repair leaves the footprint relatively uncovered, similar to a PASTA lesion, while the knotless SpeedBridge repair is able to completely reconstruct the footprint.</p>

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VID1-00807-EN | C | Single Row vs SpeedBridge™ Rotator Cuff Repair: The PASTA Effect

Christopher Adams

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Single Row vs SpeedBridge™ Rotator Cuff Repair: The PASTA Effect

Today, I'd like to demonstrate two rotator cuff repairs on the same shoulder, and then compare the footprint reconstruction that we achieved. This is a right shoulder, and we have created a large crescent shaped tear and prepared the rotator cuff footprint. First we'll do a knotted single row. Then we'll replace it with a knotless double row SpeedBridge. We've placed our first 5.5mm biocomposite Corkscrew ft into the anterior rotator cuff footprint. We then retrieve and pass the FiberWire sutures in a simple stitch configuration with a side loading fast pass. Scorpion. The second Corkscrew ft anchor is inserted in. These sutures are passed as well. We will then complete the repair by tying four independent knots. It looks good from a subacromial perspective, but let's move the scope back into the joint and take a look at the footprint. When we abduct the shoulder, you can see that the cuff lifts off very easily and actually looks like we have a rather large pasta lesion. Now we'll internally and externally rotate. And again you can see that the supraspinatus is not in contact with the medial footprint. Now we'll cut out the single row repair and replace it with a SpeedBridge. Here's our crescent tear once again, and you can see our corkscrews in the footprint. This is our anteromedial anchor, a 4.75mm biocomposite SwiveLock loaded with a blue FiberTape. The FiberTape tails are spliced together, making it easy to pass them with the fast pass Scorpion, we've placed our posterior medial SwiveLock loaded with a TigerTape and cut our splices. We then retrieve one FiberTape tail from each of the medial row anchors and fixate them laterally with another SwiveLock anchor. You can see that I've also placed a FiberLink suture anteriorly to help reduce a potential dog ear. I fixate the dog ear stitch along with my fiber tapes. We repeat those steps posteriorly and you can see our finished SpeedBridge. Back inside the joint. We again abduct and rotate the shoulder as we did before. You can clearly see how we've restored the rotator cuff attachment with medial footprint restoration, and how stable it is with respect to the footprint. Here's one more look in a side by side comparison, clearly showing the pasta effect of the single row in the footprint reconstruction achieved with the SpeedBridge.

Single Row vs SpeedBridge™ Rotator Cuff Repair: The PASTA Effect

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