Description
The presentation discusses the evolution of open rotator cuff repair, reflecting on 35 years of surgical experience and thousands of procedures performed using a consistent technique. Dr. Robin Richards shares insights on the significance of deltoid reconstruction and the technique's advantages, particularly its simplicity and cost-effectiveness. He emphasizes the need for immobilization and discusses the challenges faced when the tendon cannot be brought down, alongside exploration of alternative approaches such as the use of a distally-based slip of deltoid. As he examines both the successes and potential complications of open rotator cuff repair, he acknowledges the advancements in technology and training leading to more efficient arthroscopic methods. The presentation concludes with a look at how these changes may render open surgery as a historic technique, similar to the transformation of iconic views in Toronto.