This is the first monograph dedicated exclusively to transosseous technology and the first book supported by the Transosseous Academy.

The book covers all of the aspects from etiopathogenesis and classification to imaging, from the rationale of supporting the use of transosseous to an extensive comparison between various repair techniques.
An historical background is covered together with an updated description of the features of the most recent arthroscopic devices used to repair the cuff using a transosseous approach. In the second half of the book, surgical indications and suggested rehabilitation protocols are provided.

In the last part, economical aspects are addressed.

The authors are well recognized in the international shoulder arena and share their extensive clinical experience about transosseous. With a forward by Prof. Gigante and Dr. S. Snyder this is a must have guide for anyone wanting to know more about and adopt what is still considered the gold standard in rotator cuff repair (RCR).

Arthroscopic TO rotator cuff repair technique leads to statistically significant midterm improvement in ROM and satisfactory midterm subjective outcome scores with low complication/failure rates in patients with average medium-sized rotator cuff tears with minimal fatty infiltration. Further work is required to evaluate radiographic healing rates with this technique and to compare outcomes following suture anchor repair.

Overall, outcomes after arthroscopic transosseous rotator cuff repair are good. However, outcomes are not as good in patients undergoing revision repair as in those undergoing primary cuff repair. The procedure is not without complications (9.7% major, 6% minor).
Cortical augmentation may be used to supplement fixation, although this does not necessarily affect outcomes. Patients without such augmentation may be at increased risk for suture cutout through the bone.