ICJR Interviews: Outcomes and Costs for Rotator Cuff Repair

    An arthroscopic, anchorless transosseous approach to rotator cuff repair is as effective as the gold standard, an open, anchored transosseous technique, according to a retrospective study of prospective data from Johns Hopkins University in Baltimore, Maryland.

    What’s more, the researchers found that the anchorless procedure is more cost-effective, with saving ranging from 30% to 80% over the anchored technique, depending on tear size.

    With all things being equal clinically, in today’s cost-conscious environment, that could be the deciding factor in which technique to use.

    For the study, the researchers analyzed data from 90 arthroscopic rotator cuff repairs with a minimum 1-year follow-up. All patients had full-thickness tears of the supraspinatus and/or infraspinatus tendons.

    The researchers compared clinical and patient-reported outcomes, structural integrity, and costs for 45 patients in each of 2 groups:
    Anchorless transosseous technique
    Anchored transosseous, equivalent technique

    Clinically, there were no differences in outcomes or structural integrity at 1 year. Umasuthan Srikumaran, MD, who presented the study results at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando, said he and his colleagues found similar improvements in pain and range of motion between groups, and ultrasound showed similar rotator cuff integrity, with similar tear rates. Patient-reported outcomes were also similar between groups.

    Click the image above to hear Dr. Srikumaran discuss the study, “Arthroscopic Anchored vs. Anchorless Rotator Cuff Repair: Comparison of Outcomes and Costs” (Paper 356).

    Producer and Director: Michael Bugera; Post Production: Charles J. Maynard