AANA19 Surgery Simulcast Access Pass: Rotator Cuff Repair (Morse/Jazrawi)-Rotator Cuff Repair: Live Surgery Simulcast

Video Transcription

Video Summary

In this video, Dr. Adam Morris from Florida Orthopedic Institute demonstrates a rotator cuff repair surgery. The patient is a 71-year-old female who had an acute on chronic injury resulting from a fall. She had a medium-sized full-thickness retracted tear in her rotator cuff. Dr. Morris opted for surgical treatment due to the significant loss of motion.<br /><br />Dr. Morris explains his portal setup, which includes a standard posterior portal, an accessory navasia posterior lateral portal for better visualization, and an anterior portal for subacromial decompression and suture shuttle. He mentions that the surgery can be performed with three to five portals, depending on the surgeon's preference.<br /><br />Dr. Morris uses the Spider arm positioner to hold the patient's arm in place, eliminating the need for a tired assistant. He emphasizes the importance of clearing the joint and creating a clear field for suture passing. He demonstrates a two-row repair technique, using anchors to secure the torn tendon back to the bone.<br /><br />During the surgery, Dr. Morris mentions using the Smith and Nephew anchors, which have fenestrations to promote better blood flow and quicker incorporation into the bone. He also discusses the decision between single-row and double-row repair based on tear size.<br /><br />Dr. Morris addresses various aspects of the surgery, such as tissue quality, proper knot tying, and suture configuration. He explains his approach for tenodesis and handling degenerative type slap tears in older patients.<br /><br />Throughout the video, Dr. Morris provides valuable insights into his surgical techniques and the rationale behind his decisions.

Asset Caption

Live Surgery Simulcast-Thursday, May 2nd, 2019 (Morning)

Keywords

rotator cuff repair surgery

71-year-old female

acute on chronic injury

full-thickness retracted tear

portal setup

Spider arm positioner

two-row repair technique