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Rotator cuff sutures

The surgical repair of lesions can be performed both in open-pit or arthroscopy. In this case, the damage from which the periarticular tissues might suffer is limited and rehabilitation is less difficult.

The aim of the surgeon is to re-establish the so-called “footprint”, that is the correct anatomy of the insertion of tendons on the humerus. When the injury is inveterate, the retraction of the tendinous stumps and the degeneration of fibres can impede the surgeon from performing an anatomic re-insertion. In this occurrence, the specialists will aim at rejoining the edges of the lesion. A long term positive outcome of surgery depends on the integrity of the suture. The technique of the double row of suture is gaining ground, since it seems to implement the percentage of good long term outcomes.

It is extremely important in the management of the rehabilitation programme the collaboration with the surgeon who will have to supply us with information about the features of the tissue, the degree of tension of the applied sutures and the objects shared with the patient before surgery.

The rehabilitation programme needs to be accurately structured and monitored, keeping in mind two exigencies: paying respect to the biologic recovery of the suture and providing precocious stimulus in the sphere of the range of movement recovery.

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