Name: Um Reparo Artroscópico de Ponte-Sutura Atado Medial com Técnica Rip-Stop para Lesões do Manguito Rotador (Vídeo) | JoVE Journal
Uploaded: 2026-01-13T14:00:00.000+00:00
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Description: Aprenda a técnica artroscópica de reparo do manguito rotador com ponte-sutura medial e rip-stop para melhorar a cicatrização tendínea e reduzir o risco de retear.

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<ol><li>Ensor, K. L., Kwon, Y. W., Dibeneditto, M. R., Zuckerman, J. D., Rokito, A. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+rising+incidence+of+rotator+cuff+repairs%5BTitle%5D)+AND+%22J+Shoulder+Elbow+Surg%22%5BJournal%5D)">The rising incidence of rotator cuff repairs.</a> J Shoulder Elbow Surg. 22 (12), 1628-1632 (2013).</li>
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<li>Fox, M. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Knotted+and+knotless+double+row+transosseous+equivalent+repair+techniques+for+arthroscopic+rotator+cuff+repair+demonstrate+comparable+postoperative+outcomes%5BTitle%5D)+AND+%22Knee+Surg+Sports+Traumatol+Arthrosc%22%5BJournal%5D)">Knotted and knotless double row transosseous equivalent repair techniques for arthroscopic rotator cuff repair demonstrate comparable postoperative outcomes.</a> Knee Surg Sports Traumatol Arthrosc. 31 (5), 1919-1924 (2023).</li>
<li>Şahin, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Repair+integrity+and+functional+outcomes+between+knot-tying+and+knotless+suture-bridge+arthroscopic+rotator+cuff+repair%3AA+prospective+randomized+clinical+trial%5BTitle%5D)+AND+%22Orthop+J+Sports+Med%22%5BJournal%5D)">Repair integrity and functional outcomes between knot-tying and knotless suture-bridge arthroscopic rotator cuff repair:A prospective randomized clinical trial.</a> Orthop J Sports Med. 9 (4), 23259671211002482(2021).</li>
<li>Park, M. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Part+I%3AFootprint+contact+characteristics+for+a+transosseous-equivalent+rotator+cuff+repair+technique+compared+with+a+double-row+repair+technique%5BTitle%5D)+AND+%22J+Shoulder+Elbow+Surg%22%5BJournal%5D)">Part I:Footprint contact characteristics for a transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique.</a> J Shoulder Elbow Surg. 16 (4), 461-468 (2007).</li>
<li>Park, M. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Part+II%3ABiomechanical+assessment+for+a+footprint-restoring+transosseous-equivalent+rotator+cuff+repair+technique+compared+with+a+double-row+repair+technique%5BTitle%5D)+AND+%22J+Shoulder+Elbow+Surg%22%5BJournal%5D)">Part II:Biomechanical assessment for a footprint-restoring transosseous-equivalent rotator cuff repair technique compared with a double-row repair technique.</a> J Shoulder Elbow Surg. 16 (4), 469-476 (2007).</li>
<li>Quigley, R. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Biomechanical+comparison+of+single-row%2C+double-row%2C+and+transosseous-equivalent+repair+techniques+after+healing+in+an+animal+rotator+cuff+tear+model%5BTitle%5D)+AND+%22J+Orthop+Res%22%5BJournal%5D)">Biomechanical comparison of single-row, double-row, and transosseous-equivalent repair techniques after healing in an animal rotator cuff tear model.</a> J Orthop Res. 31 (8), 1254-1260 (2013).</li>
<li>Hantes, M. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Arthroscopic+single-row+versus+double-row+suture+bridge+technique+for+rotator+cuff+tears+in+patients+younger+than+55+years%3AA+prospective+comparative+study%5BTitle%5D)+AND+%22Am+J+Sports+Med%22%5BJournal%5D)">Arthroscopic single-row versus double-row suture bridge technique for rotator cuff tears in patients younger than 55 years:A prospective comparative study.</a> Am J Sports Med. 46 (1), 116-121 (2018).</li>
<li>Mihata, T., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Functional+and+structural+outcomes+of+single-row+versus+double-row+versus+combined+double-row+and+suture-bridge+repair+for+rotator+cuff+tears%5BTitle%5D)+AND+%22Am+J+Sports+Med%22%5BJournal%5D)">Functional and structural outcomes of single-row versus double-row versus combined double-row and suture-bridge repair for rotator cuff tears.</a> Am J Sports Med. 39 (10), 2091-2098 (2011).</li>
<li>Kim, S. J., Kim, S. H., Moon, H. S., Chun, Y. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Footprint+contact+area+and+interface+pressure+comparison+between+the+knotless+and+knot-tying+transosseous-equivalent+technique+for+rotator+cuff+repair%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Footprint contact area and interface pressure comparison between the knotless and knot-tying transosseous-equivalent technique for rotator cuff repair.</a> Arthroscopy. 32 (1), 7-12 (2016).</li>
<li>Busfield, B. T., Glousman, R. E., McGarry, M. H., Tibone, J. E., Lee, T. Q. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+biomechanical+comparison+of+two+technical+variations+of+double-row+rotator+cuff+fixation%3AThe+importance+of+medial+row+knots%5BTitle%5D)+AND+%22Am+J+Sports+Med%22%5BJournal%5D)">A biomechanical comparison of two technical variations of double-row rotator cuff fixation:The importance of medial row knots.</a> Am J Sports Med. 36 (5), 901-906 (2008).</li>
<li>Leek, B. T., Robertson, C., Mahar, A., Pedowitz, R. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Comparison+of+mechanical+stability+in+double-row+rotator+cuff+repairs+between+a+knotless+transtendon+construct+versus+the+addition+of+medial+knots%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Comparison of mechanical stability in double-row rotator cuff repairs between a knotless transtendon construct versus the addition of medial knots.</a> Arthroscopy. 26 (9 Suppl), S127-S133 (2010).</li>
<li>Cho, N. S., Yi, J. W., Lee, B. G., Rhee, Y. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Retear+patterns+after+arthroscopic+rotator+cuff+repair%3ASingle-row+versus+suture+bridge+technique%5BTitle%5D)+AND+%22Am+J+Sports+Med%22%5BJournal%5D)">Retear patterns after arthroscopic rotator cuff repair:Single-row versus suture bridge technique.</a> Am J Sports Med. 38 (4), 664-671 (2010).</li>
<li>Ponce, B. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+biomechanical+analysis+of+controllable+intraoperative+variables+affecting+the+strength+of+rotator+cuff+repairs+at+the+suture-tendon+interface%5BTitle%5D)+AND+%22Am+J+Sports+Med%22%5BJournal%5D)">A biomechanical analysis of controllable intraoperative variables affecting the strength of rotator cuff repairs at the suture-tendon interface.</a> Am J Sports Med. 41 (10), 2256-2261 (2013).</li>
<li>Pauly, S., Kieser, B., Schill, A., Gerhardt, C., Scheibel, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Biomechanical+comparison+of+four+double-row+suture-bridging+rotator+cuff+repair+techniques+using+different+medial-row+configurations%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Biomechanical comparison of four double-row suture-bridging rotator cuff repair techniques using different medial-row configurations.</a> Arthroscopy. 26 (10), 1281-1288 (2010).</li>
<li>Wu, Z., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Biomechanical+comparison+of+modified+suture+bridge+using+rip-stop+versus+traditional+suture+bridge+for+rotator+cuff+repair%5BTitle%5D)+AND+%22Biomed+Res+Int%22%5BJournal%5D)">Biomechanical comparison of modified suture bridge using rip-stop versus traditional suture bridge for rotator cuff repair.</a> Biomed Res Int. 2016 (1), 9872643(2016).</li>
<li>Bedeir, Y. H., Schumaier, A. P., Abu-Sheasha, G., Grawe, B. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Type+2+retear+after+arthroscopic+single-row%2C+double-row+and+suture+bridge+rotator+cuff+repair%3AA+systematic+review%5BTitle%5D)+AND+%22Eur+J+Orthop+Surg+Traumatol%22%5BJournal%5D)">Type 2 retear after arthroscopic single-row, double-row and suture bridge rotator cuff repair:A systematic review.</a> Eur J Orthop Surg Traumatol. 29 (2), 373-382 (2019).</li>
<li>Itoigawa, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+combined+suture+bridge+with+Mason-Allen+technique+is+superior+to+the+conventional+suture+bridge+technique+for+arthroscopic+rotator+cuff+repair%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">The combined suture bridge with Mason-Allen technique is superior to the conventional suture bridge technique for arthroscopic rotator cuff repair.</a> Arthroscopy. 40 (3), 674-680 (2024).</li>
<li>Noyes, M. P., Ladermann, A., Denard, P. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Functional+outcome+and+healing+of+large+and+massive+rotator+cuff+tears+repaired+with+a+load-sharing+rip-stop+construct%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Functional outcome and healing of large and massive rotator cuff tears repaired with a load-sharing rip-stop construct.</a> Arthroscopy. 33 (9), 1654-1658 (2017).</li>
<li>Wang, Z., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Biomechanical+evaluation+of+a+novel+double+rip-stop+technique+with+medial+row+knots+for+rotator+cuff+repair%3AAn+in+vitro+study%5BTitle%5D)+AND+%22Bone+Joint+Res%22%5BJournal%5D)">Biomechanical evaluation of a novel double rip-stop technique with medial row knots for rotator cuff repair:An in vitro study.</a> Bone Joint Res. 9 (6), 285-292 (2020).</li>
<li>Sugaya, H., Maeda, K., Matsuki, K., Moriishi, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Functional+and+structural+outcome+after+arthroscopic+full-thickness+rotator+cuff+repair%3ASingle-row+versus+dual-row+fixation%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Functional and structural outcome after arthroscopic full-thickness rotator cuff repair:Single-row versus dual-row fixation.</a> Arthroscopy. 21 (11), 1307-1316 (2005).</li>
<li>Xie, J., Zhu, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+combined+rip-stop+and+double-pulley+technique+in+arthroscopic+suture-bridge+repair%5BTitle%5D)+AND+%22Arthrosc+Tech%22%5BJournal%5D)">A combined rip-stop and double-pulley technique in arthroscopic suture-bridge repair.</a> Arthrosc Tech. 14 (3), 103247(2025).</li>
<li>Voloshin, I., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Proinflammatory+cytokines+and+metalloproteases+are+expressed+in+the+subacromial+bursa+in+patients+with+rotator+cuff+disease%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Proinflammatory cytokines and metalloproteases are expressed in the subacromial bursa in patients with rotator cuff disease.</a> Arthroscopy. 21 (9), 1076.e1-1076.e9 (2005).</li>
<li>Gotoh, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Perforation+of+rotator+cuff+increases+interleukin+1beta+production+in+the+synovium+of+glenohumeral+joint+in+rotator+cuff+diseases%5BTitle%5D)+AND+%22J+Rheumatol%22%5BJournal%5D)">Perforation of rotator cuff increases interleukin 1beta production in the synovium of glenohumeral joint in rotator cuff diseases.</a> J Rheumatol. 27 (12), 2886-2892 (2000).</li>
<li>Bills, C. C., Field, E. D., Field, L. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((%26%2334%3BDouble-row+rip-stop%26%2334%3B+technique+for+arthroscopic+rotator+cuff+repair%5BTitle%5D)+AND+%22Arthrosc+Tech%22%5BJournal%5D)">&#34;Double-row rip-stop&#34; technique for arthroscopic rotator cuff repair.</a> Arthrosc Tech. 6 (5), e2053-e2059 (2017).</li>
<li>Ma, C. B., Comerford, L., Wilson, J., Puttlitz, C. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Biomechanical+evaluation+of+arthroscopic+rotator+cuff+repairs%3A+Double-row+compared+with+single-row+fixation%5BTitle%5D)+AND+%22J+Bone+Joint+Surg+Am%22%5BJournal%5D)">Biomechanical evaluation of arthroscopic rotator cuff repairs: Double-row compared with single-row fixation.</a> J Bone Joint Surg Am. 88 (2), 403-410 (2006).</li>
<li>Castagna, A., Garofalo, R., Conti, M., Borroni, M., Snyder, S. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Arthroscopic+rotator+cuff+repair+using+a+triple-loaded+suture+anchor+and+a+modified+Mason-Allen+technique+%28Alex+stitch%29%5BTitle%5D)+AND+%22Arthroscopy%22%5BJournal%5D)">Arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified Mason-Allen technique (Alex stitch).</a> Arthroscopy. 23 (4), 440.e1-440.e4 (2007).</li>
<li>Rhee, Y. G., Cho, N. S., Parke, C. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Arthroscopic+rotator+cuff+repair+using+modified+Mason-Allen+medial+row+stitch%3AKnotless+versus+knot-tying+suture+bridge+technique%5BTitle%5D)+AND+%22Am+J+Sports+Med%22%5BJournal%5D)">Arthroscopic rotator cuff repair using modified Mason-Allen medial row stitch:Knotless versus knot-tying suture bridge technique.</a> Am J Sports Med. 40 (11), 2440-2447 (2012).</li>
<li>Fang, C. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Modified+double-pulley+and+rip-stop+suture+bridge+technique+in+arthroscopic+rotator+cuff+repair%5BTitle%5D)+AND+%22Arthrosc+Tech%22%5BJournal%5D)">Modified double-pulley and rip-stop suture bridge technique in arthroscopic rotator cuff repair.</a> Arthrosc Tech. 12 (2), e301-e305 (2023).</li>
</ol>

<table><tbody><tr><td>ÂNCORA BR HEALIX ADVANCE DE 4,5 mm</td><td>Depuy Mitek</td><td>222296</td><td>Âncora medial&nbsp;</td></tr><tr><td>ÂNCORA AVANÇADA HEALIX BR DE 4,75 mm</td><td>Depuy Mitek</td><td>222330</td><td>Âncora lateral</td></tr><tr><td>Gancho de Sutura Spectrum I, 45 graus; Curva à esquerda</td><td>Com Consolação</td><td>97.14115</td><td></td></tr><tr><td>Gancho de Sutura Spectrum I, 45 graus; Curva à direita</td><td>Com Consolação</td><td>97.14215</td><td></td></tr><tr><td>Recuperador de Sutura</td><td>Arthrex</td><td>AR-13971W</td><td></td></tr></tbody></table>

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