ROTATOR CUFF REPAIR
Three common techniques are used to repair a rotator cuff tear:
To repair the rotator cuff: The tendons are re-attached to the bone. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The suture anchors can be made of metal or material that dissolves over time, and do not need to be removed. Sutures (stitches) are attached to the anchors, which tie the tendon back to the bone.At the end of the surgery, the incisions are closed, and a dressing is applied.
During open repair: a surgical incision is made and a large muscle (the deltoid) is gently moved out the way to do the surgery. Open repair is done for large or more complex tears.
Arthroscopy:the arthroscope is inserted through small incision. The scope is connected to a video monitor. This allows the surgeon to view the inside of the shoulder. One to three additional small incisions are made to allow other instruments to be inserted.
Mini-open repair: any damaged tissue or bone spurs are removed or repaired using an arthroscope. Then during the open part of the surgery, a 2- to 3-inch (5 to 7.5 centimeters) incision is made to repair the rotator cuff.