My Rotator Cuff Repair

Christopher M. Aland MD

Orthopedic and Sportsmedicine Center of Bucks County

Disclaimer

• I own stock in Arthrocare and Johnson and Johnson

• I am on the Membership committee of AANA• I have no conflicts of interest that affect my

ability to teach this course

If all you have is a hammer…

Many companies, many hammers• Arthrex• Smith Nephew• Linvatec• Opus• Stryker• Wolf• ConMed• Etc.

Must understand tear anatomy• Sallay• Burkhart• Romeo

Tear types

Crescent U shaped

» L Shaped

Don’t just have hammers

L tear repair

Identify the L extension

Repair

Repair remaining crescent

Bottom lineUnderstand what the tear

is before fixing(Webb)

Learn to tie knotspractice, practice

Mini open=ArthroscopicArthroscopic=mini openLearn to say this sentence,

“a small incision”

Has anything changed?

• There are several true “upgrades” to items that we use today.

• There are many new features that are required for meaningful use.

• There is one feature that has been removed.

New Features

• An “on the fly” selection of a date of service in the chart list

• Viewing multiple providers in one chart list• Pharmacy is in view within the clinical summary • Past and future appointments are in view within

the clinical summary• Rx favorite list now allows providers to save their

SIG in their favorites and also to a master file.

What was removed?

The additional referring provider will no longer be available with in the summary screen.

• The process will remain the same for adding additional providers to the patient’s chart.

• That information will now only be viewed in the same area/tab that is accessed to add an additional provider.