The next generation of rotator cuff repair

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The Tendon SeamTM Difference

Rotator cuff repair hasn’t seen significant innovation in decades. Until now…

Traditional Repair

Stitches run parallel to the fibers of the tendon

4–5mm diameter anchors with 10mm spacing

4 anchor average repair

2X Strength. 10X Stability.

Single stitch that runs perpendicular to the fibers of the tendon

2mm diameter anchors with 5–7mm spacing

6–12 anchor average repair

Integrated bone venting

Strength ...

Over TWICE as strong as traditional methods on average

Withstands forces of a healthy supraspinatus and infraspinatus immediately after surgery, prior to healing.12

and

Stability ...

Traditional Methods

30% GAP FORMATION

Traditional methods show 30% gap formation relative to the footprint.11

Traditional Methods

30% GAP FORMATION

Traditional methods show 30% gap formation relative to the footprint.11

Tendon SeamTM

3% GAP FORMATION

The Tendon SeamTM Technique experiences about 3% gap formation during the same loading conditions.12

Tendon SeamTM

3% GAP FORMATION

The Tendon SeamTM Technique experiences about 3% gap formation during the same loading conditions.12

Enable Early Mobility.
Optimize Healing.

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6 Keys to an Optimized Repair

A repair that can withstand the forces generated by a healthy supraspinatus and infraspinatus at time zero. 13

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A scalable repair enables multiple stitches to span the entire tear regardless of its size.

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Load sharing in multiple directions supports daily living demands.

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A tension-free and anatomic repair mimics native rotator cuff

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Each stitch minimizes gap formation to limit micromotion and target compression throughout the healing period.

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A technique that promotes a biologically friendly environment that aids in long term healing of the tendon to bone.

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Features

Toggling PEEK anchors

Continuous #2 UHMWPE Repair Suture

Each stitch individually tensioned​

Each anchor individually locked​

Anchors spaced 5-7mm apart​

Transtendinous

Benefits

Anatomic reduction first - then repair

Small, tightly spaced stitches

Flexible to match tear size & shape​

Integrated bone venting​

Knotless compression​

Single portal repair

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See the difference

FASTER
40%
Reduction in case time
See Comparison →
Integrity Orthopaedics
64 minutes12
average
VS
Traditional TOE
110 minutes16
average
EASIER
50%
Reduction in steps
See Comparison →
Integrity Orthopaedics
12612
8 anchor mag
VS
Traditional TOE
26412
2X2 knotted double loaded
REDUCED RISK
90%
Reduction in portal entry
See Comparison →
Integrity Orthopaedics
2–3 passes12
of device into shoulder for 8 to 16 anchors
VS
Traditional TOE
58–66 passes12
of device into shoulder
with 2x2 knotted double loaded

See the Technique

Watch a first-person view of Dr. Pat Connor creating a Seam with the Tendon Seam™

Enable Early Mobility.
Optimize Healing.

Get In Touch

Patient Experiences

Patients that have received both a traditional repair and the Integrity Orthopaedics Repair share their experience.

I can’t tell you that I even knew the nerve block went away”

– Mr. Peel

I would say I’m at least a month, a month and a half, ahead on this one…”

– Mr. PIZZUTTI

Early Mobility Advantage

Superior range of motion 14

Reduced shoulder stiffness 14

Faster return to activity 15

What does that mean for patients?

After rotator cuff repair surgery, wearing a sling is standard practice. The sling immobilizes the shoulder, protecting the newly repaired tendon as it begins to heal. Traditionally, patients have been advised to wear a sling for 4-6 weeks after surgery. However, recent advancements and research suggest that reducing sling time might offer benefits for some patients, helping to enhance recovery while minimizing discomfort.

Reducing the amount of time spent in a sling after surgery is based on the idea that early, controlled movement of the shoulder can:

  • Promote Healing: Gentle movement can stimulate blood flow to the shoulder, which helps nourish the healing tendon and surrounding tissues.
  • Prevent Stiffness: Long periods of immobilization can lead to shoulder stiffness, making it harder to regain full range of motion. Early movement may help prevent this issue.
  • Reduce Muscle Loss: Starting physical therapy sooner can help maintain muscle strength around the shoulder, which supports the healing process and aids in quicker recovery.

For many patients, reducing sling time can have several positive impacts on the recovery experience:

  1. Faster Return to Daily Activities: With less time spent immobilized, patients may be able to resume light daily activities, such as dressing or eating, sooner. This can improve overall quality of life during recovery.
  2. Improved Shoulder Mobility: Early movement can help patients maintain flexibility in the shoulder joint, making it easier to regain full range of motion during rehabilitation.
  3. Less Discomfort: Being in a sling for a long time can be uncomfortable and may contribute to neck or back pain. Reducing sling time can alleviate some of these issues.
  4. Enhanced Recovery: Early, guided exercises under the supervision of a physical therapist can lead to a more successful overall recovery, with better long-term shoulder function.

While reduced sling time can offer significant benefits, it’s not suitable for everyone. The decision depends on several factors, including:

  • The Type and Severity of the Tear: Some tears may still require longer immobilization to ensure proper healing.
  • Overall Health: Patients with certain health conditions or those who are older may need a more cautious approach.
  • Surgeon’s Expertise: The recommendation for reduced sling time should come from a surgeon experienced in this approach and comfortable with its application based on the patient’s specific case.

If surgeons recommend a reduced sling time approach, the recovery plan may look different than a traditional recovery. Here’s what can be expected:

  • Early Physical Therapy: Patients might start physical therapy sooner, with a focus on gentle, passive movements of the shoulder. These exercises are designed to promote healing without stressing the repaired tendon.
  • Gradual Increase in Activity: As the shoulder heals, patients will gradually increase their range of motion and start strengthening exercises, tailored to their specific needs.

After rotator cuff repair surgery, wearing a sling is standard practice. The sling immobilizes the shoulder, protecting the newly repaired tendon as it begins to heal. Traditionally, patients have been advised to wear a sling for 4-6 weeks after surgery. However, recent advancements and research suggest that reducing sling time might offer benefits for some patients, helping to enhance recovery while minimizing discomfort.

Reducing the amount of time spent in a sling after surgery is based on the idea that early, controlled movement of the shoulder can:

  • Promote Healing: Gentle movement can stimulate blood flow to the shoulder, which helps nourish the healing tendon and surrounding tissues.
  • Prevent Stiffness: Long periods of immobilization can lead to shoulder stiffness, making it harder to regain full range of motion. Early movement may help prevent this issue.
  • Reduce Muscle Loss: Starting physical therapy sooner can help maintain muscle strength around the shoulder, which supports the healing process and aids in quicker recovery.

For many patients, reducing sling time can have several positive impacts on the recovery experience:

  1. Faster Return to Daily Activities: With less time spent immobilized, patients may be able to resume light daily activities, such as dressing or eating, sooner. This can improve overall quality of life during recovery.
  2. Improved Shoulder Mobility: Early movement can help patients maintain flexibility in the shoulder joint, making it easier to regain full range of motion during rehabilitation. (cite)
  3. Less Discomfort: Being in a sling for a long time can be uncomfortable and may contribute to neck or back pain. Reducing sling time can alleviate some of these issues.
  4. Enhanced Recovery: Early, guided exercises under the supervision of a physical therapist can lead to a more successful overall recovery, with better long-term shoulder function. (cite)

If surgeons recommend a reduced sling time approach, the recovery plan may look different than a traditional recovery. Here’s what can be expected:

  • Early Physical Therapy: Patients might start physical therapy sooner, with a focus on gentle, passive movements of the shoulder. These exercises are designed to promote healing without stressing the repaired tendon.
  • Gradual Increase in Activity: As the shoulder heals, patients will gradually increase their range of motion and start strengthening exercises, tailored to their specific needs.

While reduced sling time can offer significant benefits, it’s not suitable for everyone. The decision depends on several factors, including:

  • The Type and Severity of the Tear: Some tears may still require longer immobilization to ensure proper healing.
  • Overall Health: Patients with certain health conditions or those who are older may need a more cautious approach.
  • Surgeon’s Expertise: The recommendation for reduced sling time should come from a surgeon experienced in this approach and comfortable with its application based on the patient’s specific case.
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