Knotless 'Suture Staple' Technique for Endoscopic Partial Thickness Abductor Tendon Repair
Authors: Hartigan DE, Mansor Y, Perets I, Walsh JP, Mohr MR, Domb BG
DOI: 10.1016/j.eats.2018.06.002
Background:
Partial-thickness abductor tendon tears cause lateral hip pain and functional impairment. Traditional arthroscopic repairs rely on knot tying, which can lead to soft tissue irritation and postoperative discomfort.
Technique Summary:
- The knotless suture staple technique avoids knot tying by using a suture construct that compresses the tendon to bone securely and efficiently through endoscopic portals.
- This technique facilitates anatomic repair with less bulk and irritation.
Key Findings:
- Provides a more efficient repair with decreased risk of knot-related irritation.
- Allows precise tendon footprint restoration, potentially enhancing healing and patient comfort.
What Does This Mean for Providers?
- Incorporate the knotless suture staple technique in appropriate partial-thickness abductor tendon repairs to minimize soft tissue irritation and improve patient comfort.
- Consider this technique when aiming for efficient, reproducible repairs in minimally invasive hip surgery.
- Recognize that improved tendon compression and reduced knot bulk may facilitate better clinical outcomes and faster recovery.