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Repair integrity and functional outcome after arthroscopic rotator cuff repair: double-row versus suture-bridge technique.
Am J Sports Med. 2012 Feb; 40(2):294-9.AJ

Abstract

BACKGROUND

Only a few studies have examined repair integrity and functional outcome after arthroscopic suture-bridge rotator cuff repair procedure. In addition, no reported study has compared outcomes between the suture-bridge and double-row techniques.

PURPOSE

This study compared the functional outcome and repair integrity of arthroscopic double-row and conventional suture-bridge repair in full-thickness rotator cuff tears.

STUDY DESIGN

Cohort study; Level of evidence, 2.

METHODS

Fifty-two consecutive full-thickness rotator cuff tears with 1 to 4 cm of anterior to posterior dimension that underwent arthroscopic rotator cuff repair were included. A double-row technique was used in the first 26 consecutive shoulders, and a conventional suture-bridge technique was used in the next 26 consecutive shoulders. Fifty shoulders (92.5%) underwent magnetic resonance imaging or ultrasonography postoperatively. Clinical outcomes were evaluated a minimum 2 years (mean, 37.2 months; range, 24-54) postoperatively using the University of California at Los Angeles (UCLA), American Shoulder and Elbow Surgeons (ASES), and Constant scores. The postoperative cuff integrity was evaluated a mean of 33.0 (range, 10-54) months postoperatively.

RESULTS

At the final follow-up, the average UCLA, ASES, and Constant scores improved significantly, to 32.3, 90.5, and 80.7, respectively, in the double-row group and to 30.6, 88.5, and 74.0, respectively, in the suture-bridge group. The UCLA, ASES, and Constant scores improved in both groups postoperatively (all P < .001); however, there was no significant difference between the 2 groups at final follow-up (P = .185, .585, and .053, respectively). The retear rate was 24% in the shoulders that underwent double-row repair and 20% in the shoulders that underwent suture-bridge repair; this difference was not statistically significant (P = .733).

CONCLUSION

The arthroscopic conventional suture-bridge technique resulted in comparable patient satisfaction, functional outcome, and rates of retear compared with the arthroscopic double-row technique in full-thickness rotator cuff tears.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Chungnam National University School of Medicine, Daejeon, South Korea.. kckim@cnu.ac.krNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

22074913

Citation

Kim, Kyung Cheon, et al. "Repair Integrity and Functional Outcome After Arthroscopic Rotator Cuff Repair: Double-row Versus Suture-bridge Technique." The American Journal of Sports Medicine, vol. 40, no. 2, 2012, pp. 294-9.
Kim KC, Shin HD, Lee WY, et al. Repair integrity and functional outcome after arthroscopic rotator cuff repair: double-row versus suture-bridge technique. Am J Sports Med. 2012;40(2):294-9.
Kim, K. C., Shin, H. D., Lee, W. Y., & Han, S. C. (2012). Repair integrity and functional outcome after arthroscopic rotator cuff repair: double-row versus suture-bridge technique. The American Journal of Sports Medicine, 40(2), 294-9. https://doi.org/10.1177/0363546511425657
Kim KC, et al. Repair Integrity and Functional Outcome After Arthroscopic Rotator Cuff Repair: Double-row Versus Suture-bridge Technique. Am J Sports Med. 2012;40(2):294-9. PubMed PMID: 22074913.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Repair integrity and functional outcome after arthroscopic rotator cuff repair: double-row versus suture-bridge technique. AU - Kim,Kyung Cheon, AU - Shin,Hyun Dae, AU - Lee,Woo Yong, AU - Han,Sun Cheol, Y1 - 2011/11/10/ PY - 2011/11/15/entrez PY - 2011/11/15/pubmed PY - 2012/5/30/medline SP - 294 EP - 9 JF - The American journal of sports medicine JO - Am J Sports Med VL - 40 IS - 2 N2 - BACKGROUND: Only a few studies have examined repair integrity and functional outcome after arthroscopic suture-bridge rotator cuff repair procedure. In addition, no reported study has compared outcomes between the suture-bridge and double-row techniques. PURPOSE: This study compared the functional outcome and repair integrity of arthroscopic double-row and conventional suture-bridge repair in full-thickness rotator cuff tears. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Fifty-two consecutive full-thickness rotator cuff tears with 1 to 4 cm of anterior to posterior dimension that underwent arthroscopic rotator cuff repair were included. A double-row technique was used in the first 26 consecutive shoulders, and a conventional suture-bridge technique was used in the next 26 consecutive shoulders. Fifty shoulders (92.5%) underwent magnetic resonance imaging or ultrasonography postoperatively. Clinical outcomes were evaluated a minimum 2 years (mean, 37.2 months; range, 24-54) postoperatively using the University of California at Los Angeles (UCLA), American Shoulder and Elbow Surgeons (ASES), and Constant scores. The postoperative cuff integrity was evaluated a mean of 33.0 (range, 10-54) months postoperatively. RESULTS: At the final follow-up, the average UCLA, ASES, and Constant scores improved significantly, to 32.3, 90.5, and 80.7, respectively, in the double-row group and to 30.6, 88.5, and 74.0, respectively, in the suture-bridge group. The UCLA, ASES, and Constant scores improved in both groups postoperatively (all P < .001); however, there was no significant difference between the 2 groups at final follow-up (P = .185, .585, and .053, respectively). The retear rate was 24% in the shoulders that underwent double-row repair and 20% in the shoulders that underwent suture-bridge repair; this difference was not statistically significant (P = .733). CONCLUSION: The arthroscopic conventional suture-bridge technique resulted in comparable patient satisfaction, functional outcome, and rates of retear compared with the arthroscopic double-row technique in full-thickness rotator cuff tears. SN - 1552-3365 UR - https://www.unboundmedicine.com/medline/citation/22074913/Repair_integrity_and_functional_outcome_after_arthroscopic_rotator_cuff_repair:_double_row_versus_suture_bridge_technique_ L2 - http://journals.sagepub.com/doi/full/10.1177/0363546511425657?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -