Optimization of lesser tuberosity osteotomy repair: a biomechanical assessment of suture tensioning, repair configuration, and type of suture
Four sutures appear to be an efficient number for LTO repair, as we observed no appreciable increase in strength with the addition of a fifth suture. There was no difference in strength between the suture types. Hand-tied repairs exhibit significant differences in strength among surgeons. If a surgeon considers this variation unfavorable, they may opt to use a tensioning device to ensure consistent repair strength according to their clinical judgment.
Authors
- Peter W. Kurtz
- Richard Joel Friedman (ORCID: https://orcid.org/0000-0002-5641-470X)
- Josef Karl Eichinger (ORCID: https://orcid.org/0000-0001-8563-7307)
- Shuchun Sun (ORCID: https://orcid.org/0000-0002-7985-2745)
- Megan E. Welsh
- Jeremy L. Gilbert (ORCID: https://orcid.org/0000-0002-7428-2851)
- M. Negus
- Brandon L. Rogalski (ORCID: https://orcid.org/0000-0002-1347-2950)
- Robert J. Reis
Institutions
- Medical University of South Carolina (US)
- Bioengineering Center (RU)
Publication Details
- Journal
- JSES International
- Published
- 2025-08-29
- DOI
- https://doi.org/10.1016/j.jseint.2025.08.001
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Arthrex