Key result
A surgical technique using a biodegradable subacromial balloon-shaped spacer is described to protect rotator cuff repairs by centering the humeral head and reducing friction.
Describes a surgical technique using a biodegradable subacromial spacer to protect rotator cuff repairs.
Technique for subacromial spacer in rotator cuff repair described; leaves open efficacy and requires prospective trials before adoption.
Rotator cuff repairs have a high failure rate proportional to the tear size. Various techniques have been described to improve the repair strength and failure rate. The described surgical technique uses a biodegradable subacromial balloon-shaped spacer (InSpace; OrthoSpace, Caesarea, Israel) that is implanted arthroscopically to protect our tendon repair. We describe the introduction technique and suggest some hints and tricks. The spacer is placed under direct vision in the subacromial space after the rotator cuff repair is finished. Correct placement is verified by moving the arm freely. The subacromial spacer may help to protect the rotator cuff repair by centering the humeral head and reducing friction between suture knots and the acromion. It may also help to flatten dog-ear formations.
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Szöllösy et al. (2014) studied Rotator cuff tear. Subacromial balloon-shaped spacer (InSpace) was evaluated. A surgical technique using a biodegradable subacromial balloon-shaped spacer is described to protect rotator cuff repairs by centering the humeral head and reducing friction.
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