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Summary: Contemporary evidence supports double-row cuff repair for larger tears (lower retear, better scores), with knotless vs. knotted double-row showing largely comparable outcomes. Material choice (PEEK vs. bioabsorbable) may influence peri-anchor bone reactions. Fluid-management and RF technology enhance visualization and hemostasis, provided thermal-safety protocols are respected. PMC+2PMC+2jsesreviewsreportstech.orgarthroscopyjournal.org
Visualization & Flow: 30°/70° optics and pressure/flow-controlled pumps improve view; extravasation must be monitored. ORTHOSYN does not supply scopes/pumps, but color-coded transparent disposable cannulasstreamline instrument handling and fluid control. OrthoInfoPMC+1
Rotator Cuff Fixation: For ≥3 cm tears, double-row may yield superior ASES/UCLA and lower retear; knotless vs knotted differences are minimal in most series. ORTHOSYN offers titanium/PEEK/bioabsorbable anchors (knotless options) and nitinol suture passers for low-trauma passage. PMC+1PubMed
Material Considerations: PEEK anchors show lower peri-anchor osteolysis vs some bioabsorbables in observational studies; clinical impact is case dependent. arthroscopyjournal.org
Instability & AC Joint: Cortical-button constructs are effective alternatives to hook plates in AC reconstructions with differing complication profiles. ORTHOSYN titanium cortical buttons (per IFU indications) provide low-profile fixation. PMC
Biceps Tenodesis: Biomechanics favor interference screws over cortical buttons for subpectoral fixation in ultimate load testing. ORTHOSYN interference screws (PEEK/titanium/bioabsorbable) deliver primary stability. PubMed
RF Probes: Routine and safe when used with adequate irrigation and suction; beware heat build-up if suction is obstructed. ORTHOSYN RF probes incorporate high-flow lumens for cooling. cisejournal.orgarthroscopyjournal.org
Conclusion: Evidence-guided implant selection (configuration + material), robust fluid control, and thermal safety underpin outcomes. ORTHOSYN’s portfolio maps onto these pillars to support efficient, reproducible shoulder arthroscopy.