Research Study by ONS Surgeons published in major peer review journal



Rotator cuff surgery has undergone significant improvements over the past decade due to improved materials and techniques. Transosseous Equivalent (TOE) Repair is a new technique which is utilized by physicians at Orthopaedic and Neurosurgery Specialists PC (ONS) at Greenwich Hospital, and was the subject of a recent study by the ONS Foundation for Clinical Research and Education. The healing rates of two-tendon rotator cuff tears repaired with the new suture bridging technique were examined, and the results indicated dramatic improvements in patient healing rates. The research was documented in a paper authored by ONS orthopedic surgeons Paul Sethi, MD; James Cunningham, MD; and Seth Miller, MD, and recently published in the Journal of Shoulder and Elbow Surgery.

The study included over 40 ONS patients who underwent arthroscopic rotator cuff surgery using the TOE repair. One year later, they were evaluated with an MRI scan. The ONS Foundation study showed that use of the new suture bridge repair resulted in exceptionally high success rates including patients with large rotator cuff tears.

A study by ONS orthopedic surgeons Seth Miller, MD; James Cunningham, MD; and Paul Sethi, MD of ONS was recently published in the Journal of Shoulder and Elbow Surgery.

“Surgical repairs, performed either arthroscopically or open, have had inconsistent rates of healing. Furthermore, the larger the tear- the more likely the repair is to fail,” said Dr. Sethi. “Patients may notice some improvement post surgery, even when the tendon has not completely healed. However when the tendon successfully heals to the bone, patients experience less pain and greater post-operative strength. The TOE technique significantly increases the chance of complete recovery.”

The Journal of Shoulder and Elbow Surgery is the only peer-reviewed publication to focus exclusively on medical, surgical, and physical techniques for treating injury/disease of the shoulder, arm, and elbow. Clinically oriented and peer-reviewed, the Journal provides an international forum for the exchange of information on new techniques, instruments, and materials.  Topics covered include fractures, dislocations, diseases and injuries of the rotator cuff, imaging techniques, arthritis, arthroscopy, arthroplasty, and rehabilitation.


Article Reference: Sethi PM, Noonan BC, Cunningham J, Shreck E, Miller S. Repair results of 2-tendon rotator cuff tears utilizing the transosseous equivalent technique. J Shoulder Elbow Surgery (2010) 19, 1210-1217.

ONS Foundation for Clinical Research and Education, Inc. is a registered not-for-profit, 501(c)3 organization devoted to understanding the causes and optimal treatments of orthopedic injuries and musculoskeletal conditions. The ONS Foundation, in alliance with Greenwich Hospital, strives to improve standards of excellence for the treatment of musculoskeletal disorders through clinical research, physician and patient education, and community outreach programs.  The office is located at 6 Greenwich Office Park, 10 Valley Drive, Greenwich, CT. For further information visit or call (203) 869-3131.

The ONS Foundation Golf Outing next Monday will raise funds to build a Biomechanics Research Lab in Greenwich

The ONS Foundation for Clinical Research and Education will hold its second annual benefit golf outing next Monday, June 21 at Winged Foot Golf Club in Mamaroneck, NY. The outing committee has planned an exciting day of golf on the club’s renowned West Course, along with other activities. The golf outing is the primary fundraising vehicle for the Foundation, which actively promotes sports injury prevention and conducts clinical research aimed at improving orthopedic and neurosurgical procedures and standards. Themed Linking Knowledge to Motion, the goal of this year’s event is to raise funds to build a biomechanics research laboratory.

“Building a fully-equipped biomechanics research laboratory is an ambitious goal but one we are confident we will meet,” said ONS Foundation President and Founder Paul Sethi, MD. “The lab is critical to advancing the goals of the Foundation. Currently our medical researchers work in outside labs.  Having the ability to test procedures in our own facility will significantly expand our capability to conduct safe, ethically-sound clinical studies. We’re looking forward to a great event to help us meet this goal.”

The golf outing at Winged Foot is co-chaired by Michael Clain, MD and Vicki Leeds Tananbaum. The auction is chaired by Susan Curtain, and Margaret Archer, Nancy Colabella and Susan Flink serve on the tournament committee. For more information about the ONS Foundation or the golf outing, call visit call (203) 869-3131.