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Arthroscopic Transosseous-Equivalent Repair for Rotator Cuff Tear by Double Anchor Footprint Fixation (DAFF) Technique

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Arthroscopic Transosseous-Equivalent Repair for Rotator Cuff Tear by Double Anchor Footprint Fixation (DAFF) Technique

Shoulder and Sports Medicine Service, Osaka Kosei-nenkin Hospital, Osaka, Japan Minoru Yoneda, M.D.∙Shinsuke Nonaka, M.D.∙Shin-ichi Yamada, M.D.

Double anchor footprint fixation (DAFF) technique developed by the author in 2004 is one of modifications for arthroscopic Bankart repair and equivalent to open transosseous suture technique.

Since 2005, I had applied the DAFF technique to the treatment of rotator cuff tear instead of conventional dual-row technique. First, a suture anchor is inserted in the lateral edge of the humeral cartilage, with the sutures passed through the rotator cuff without medial knots. The medial sutures are brought over the cuff and passed through the loop of the lateral anchor (PanalokLoop, Depuy Mitek). The lateral anchor is inserted in 1.0~1.5 cm distal to the lateral drop-off of the greater tuberosity. Finally the sutures are tied non-sliding knots on the hole of the lateral anchor with adjusting tension of the tendon appropriately (Figs. 1-3).

In this talk I would like to show my latest arthroscopic rotator cuff repair by this DAFF technique and compare the structural outcome of dual-row technique and DAFF technique by postoperative MR imaging (Figs. 4-5). Moreover, I will discuss the distinction between DAFF and dual-row and “Suture-Bridge”techniques (Figs. 6-11).

49

Inviting Lecture I

제 17 차 대한견∙주관절학회 학술대회

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50

Inviting Lecture I

17th Congress of Korean Shoulder and Elbow Society

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51

Inviting Lecture I

제 17 차 대한견∙주관절학회 학술대회

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