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Addressing challenges in rotator cuff fixation

Rotator cuff repair has unique clinical challenges, including a 20-40% re-tear rate and long periods of immobilization of up to 6 weeks.7,8 The limitations of traditional fixation methods contribute to these challenges, relying on just 2-4 fixation points, isolating loads within a small area and potentially leading to “cheese wiring”.

Rotator cuff tendons are subject to ~300 Newtons during daily activities (resisted, such as steering a car), yet the functional load yield of transosseous equivalent (TOE) repairs is insufficient to withstand these loads.3,5,9 The TENDON SEAM System addresses this challenge directly, engineered to help deliver superior performance throughout recovery. 

A stronger start to healing

As a revolutionary new standard of repair, the TENDON SEAM Construct creates a biomechanically superior repair*1-5 in a less complex technique,*6 helping surgeons give their patients a stronger start to healing.

Using the TENDON SEAM System creates a 2x stronger repair with 10x less gap formation in 45% fewer procedure steps when compared to traditional methods.*1-6

 

 

Superior biomechanical performance

Showcasing the TENDON SEAM System’s ability to address rotator cuff repair failure, a human cadaveric biomechanical evaluation reinforced the impact of the continuous-stitch construct. When compared to published benchmarks for knotted and knotless TOE repairs, during cyclic loading, the TENDON SEAM System showed:

  • 2x stronger repair2,3,5
  • 10x less gap formation2,10
  • Maintained integrity under loads estimated during activities of daily living2
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Video of biomechanical testing: TENDON SEAM Construct vs Knotless TOE

10x less gap formation

The construct leads to gap formation during cyclic loading 10X less than traditional repair methods to help maintain tendon compression to bone*2,10

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Creating the TENDON SEAM System construct

Unlike traditional repair methods, which involve a complex series of individual instruments, the TENDON SEAM System’s continuous-stitch construct can be achieved with an all-in-one solution combining hole preparation, anchor deployment and tensioning in a single device, thereby cutting procedure steps by 45%.*6

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Surgical videos



Tendon Seam success stories

When you hear from patients who have benefited from the Tendon Seam System repair method, you understand the powerful impact of surgeons switching from a traditional approach


Rebecca

Listen to Rebecca and Blake recount a powerful recovery story after Dr Geoffrey Stone used the TENDON SEAM System to repair Rebecca’s massive rotator cuff tear.

Jim and Greg​

Find out why Jim’s recovery and return to activities was so powerful he had to recommend the Tendon Seam System and Dr Marc Labbe to his friend Greg. ​

Patient and physical therapist reactions

Hear a collection of real-world stories from those who have seen the TENDON SEAM System’s powerful impact on rehabilitation and recovery.

Disclaimers

*Stronger repair and less gap formation compared to that reported for transosseous equivalent repairs, based on biomechanical testing in human cadavers.
Fewer procedure steps compared to knotted transosseous equivalent repairs.
**As measured by gap formation, 500 cycles from 4N to 302N to further challenge the construct at the high end of functional loads estimated to be
experienced during healing period and activities of daily living2,10

This content is intended for healthcare professionals only.
Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Smith+Nephew representative or distributor if you have questions about the availability of Smith+Nephew products in your area. For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s applicable Instructions for Use (IFU) prior to use.

TENDON SEAM is manufactured by Integrity Orthopaedics, 5565 Pioneer Creek Drive, Maple Plain MN 55359.
Trademark of Smith+Nephew. All trademarks acknowledged. © Smith+Nephew. All rights reserved.

Citations
  1. Integrity Orthopaedics Data on File. Testing Report: DN-00868
  2. Integrity Orthopaedics Data on File. Testing Report: DN-00664.
  3. Busfield BT, et al. Am J Sports Med. 2008;36(5):901-906.
  4. Abtahi AM, et al. World J Orthop. 2015;6(2):211-220
  5. Park MC, et al. J Shoulder Elbow Surg. 2007;16(4):469-476.
  6. Smith+Nephew 2026. Memo – Design and Tech Claims Rationales. Rev 02.
  7. Young BL, et al. JSES Rev Op Tech. 3 (2023) 318e323.
  8. Sciarretta, et al. SICOT-J. 2023;9,14.
  9. Smith+Nephew. Internal Report. 10175693.
  10. Burkhart SS. Arthroscopy. 2000;16:82-90.

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