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Table 1: Advantages and disadvantages of the ATOT technique. |
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Advantages |
Disadvantages |
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Cost-effective, eliminates the cost of using anchors |
Technically demanding at the beginning due to the learning curve (like any surgical technique) |
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Improved rotator cuff footprint biology |
Requires use of a new device |
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Possibility of evaluating the rotator cuff completely in follow-up with MRI |
— |
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Less postoperative pain |
— |
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Possibility of creating multiple attachment points, more efficient load distribution and reduced stress on tissues |
— |
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Synergy, hybrid constructs possible (they are not mutually exclusive) |
— |
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Type 1 failure check much simpler |
— |
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ATOT = arthroscopic transosseous tunnel. MRI = magnetic resonance imaging. |
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