Work

High‐Strength Tape for Cable Structure Reconstruction During Arthroscopic Repair of L‐Shaped Rotator Cuff Tears

Year: 2026

Type: article

Abstract: With the innovation and progressive maturation of arthroscopic techniques, the advantages of minimally invasive surgery and accelerated rehabilitation have made arthroscopy a preferred option for patients with rotator cuff injuries. However, for complex rotator cuff tears, such as "L-shaped" tendon tears, the risk of postoperative retear remains considerable. The cable structure, serving as a "suspension bridge" within the rotator cuff, is a critical load-bearing component of the shoulder joint. This structure is frequently compromised in "L-shaped" rotator cuff tears. In this report, we describe an arthroscopic technique using high-strength tape to restore the cable structure and treat "L-shaped" rotator cuff tears. The key steps include using high-strength tape to reduce the retracted tendon stump and restore the cable structure, thereby re-establishing mechanical integrity, reducing tension on the repaired tendon, and minimizing the cutting effect of sutures on the tendon. Finally, the sutures from the medial-row anchor are employed to perform a "Margin Convergence" repair of the longitudinal tear component.

Source: Arthroscopy Techniques

DOI: 10.1002/atn2.70387