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The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique.
J Bone Joint Surg Am. 2007 Jul; 89(7):1533-41.JB

Abstract

BACKGROUND

The reported rate of failure after arthroscopic rotator cuff repair has varied widely. The influence of the repair technique on the failure rates and functional outcomes after open or arthroscopic rotator cuff repair remains controversial. The purpose of the present study was to evaluate the functional and anatomic results of arthroscopic rotator cuff repairs performed with the double-row suture anchor technique on the basis of computed tomography or magnetic resonance imaging arthrography in order to determine the postoperative integrity of the repairs.

METHODS

A prospective series of 105 consecutive shoulders undergoing arthroscopic double-row rotator cuff repair of the supraspinatus or a combination of the supraspinatus and infraspinatus were evaluated at a minimum of two years after surgery. The evaluation included a routine history and physical examination as well as determination of the preoperative and postoperative strength, pain, range of motion, and Constant scores. All shoulders had a preoperative and postoperative computed tomography arthrogram (103 shoulders) or magnetic resonance imaging arthrogram (two shoulders).

RESULTS

There were thirty-six small rotator cuff tears, forty-seven large isolated supraspinatus or combined supraspinatus and infraspinatus tendon tears, and twenty-two massive rotator cuff tears. The mean Constant score (and standard deviation) was 43.2+/-15.1 points (range, 8 to 83 points) preoperatively and 80.1+/-11.1 points (range, 46 to 100 points) postoperatively. Twelve of the 105 repairs failed. Intact rotator cuff repairs were associated with significantly increased strength and active range of motion.

CONCLUSIONS

Arthroscopic repair of a rotator cuff tear with use of the double-row suture anchor technique results in a much lower rate of failure than has previously been reported in association with either open or arthroscopic repair methods. Patients with an intact rotator cuff repair have better pain relief than those with a failed repair. After repair, large and massive rotator cuff tears result in more postoperative weakness than small tears do.

Authors+Show Affiliations

The Alps Surgery Institute, Clinique Generale, 4 Ch. Tour Reine, 74000 Annecy, France.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17606793

Citation

Lafosse, Laurent, et al. "The Outcome and Structural Integrity of Arthroscopic Rotator Cuff Repair With Use of the Double-row Suture Anchor Technique." The Journal of Bone and Joint Surgery. American Volume, vol. 89, no. 7, 2007, pp. 1533-41.
Lafosse L, Brozska R, Toussaint B, et al. The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. J Bone Joint Surg Am. 2007;89(7):1533-41.
Lafosse, L., Brozska, R., Toussaint, B., & Gobezie, R. (2007). The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. The Journal of Bone and Joint Surgery. American Volume, 89(7), 1533-41.
Lafosse L, et al. The Outcome and Structural Integrity of Arthroscopic Rotator Cuff Repair With Use of the Double-row Suture Anchor Technique. J Bone Joint Surg Am. 2007;89(7):1533-41. PubMed PMID: 17606793.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The outcome and structural integrity of arthroscopic rotator cuff repair with use of the double-row suture anchor technique. AU - Lafosse,Laurent, AU - Brozska,Roman, AU - Toussaint,Bruno, AU - Gobezie,Reuben, PY - 2007/7/4/pubmed PY - 2007/9/7/medline PY - 2007/7/4/entrez SP - 1533 EP - 41 JF - The Journal of bone and joint surgery. American volume JO - J Bone Joint Surg Am VL - 89 IS - 7 N2 - BACKGROUND: The reported rate of failure after arthroscopic rotator cuff repair has varied widely. The influence of the repair technique on the failure rates and functional outcomes after open or arthroscopic rotator cuff repair remains controversial. The purpose of the present study was to evaluate the functional and anatomic results of arthroscopic rotator cuff repairs performed with the double-row suture anchor technique on the basis of computed tomography or magnetic resonance imaging arthrography in order to determine the postoperative integrity of the repairs. METHODS: A prospective series of 105 consecutive shoulders undergoing arthroscopic double-row rotator cuff repair of the supraspinatus or a combination of the supraspinatus and infraspinatus were evaluated at a minimum of two years after surgery. The evaluation included a routine history and physical examination as well as determination of the preoperative and postoperative strength, pain, range of motion, and Constant scores. All shoulders had a preoperative and postoperative computed tomography arthrogram (103 shoulders) or magnetic resonance imaging arthrogram (two shoulders). RESULTS: There were thirty-six small rotator cuff tears, forty-seven large isolated supraspinatus or combined supraspinatus and infraspinatus tendon tears, and twenty-two massive rotator cuff tears. The mean Constant score (and standard deviation) was 43.2+/-15.1 points (range, 8 to 83 points) preoperatively and 80.1+/-11.1 points (range, 46 to 100 points) postoperatively. Twelve of the 105 repairs failed. Intact rotator cuff repairs were associated with significantly increased strength and active range of motion. CONCLUSIONS: Arthroscopic repair of a rotator cuff tear with use of the double-row suture anchor technique results in a much lower rate of failure than has previously been reported in association with either open or arthroscopic repair methods. Patients with an intact rotator cuff repair have better pain relief than those with a failed repair. After repair, large and massive rotator cuff tears result in more postoperative weakness than small tears do. SN - 0021-9355 UR - https://www.unboundmedicine.com/medline/citation/17606793/The_outcome_and_structural_integrity_of_arthroscopic_rotator_cuff_repair_with_use_of_the_double_row_suture_anchor_technique_ L2 - http://dx.doi.org/10.2106/JBJS.F.00305 DB - PRIME DP - Unbound Medicine ER -