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Comparison of functional results of two fixation systems using single-row suturing of rotator cuff.
Rev Esp Cir Ortop Traumatol 2018 May - Jun; 62(3):178-184RE

Abstract

INTRODUCTION

Arthroscopic repair of rotator cuff disorders is a technically demanding but successful procedure. Many anchor and suture alternatives are now available. The choice of the implant by the surgeon is less important than the configuration of the suture used to fix the tendon, however it is necessary to know if there are differences in the results, using each one of them. The aim of the study is to evaluate if there are differences between the knotted and non-knotted implant in terms of functional and satisfaction results.

MATERIAL AND METHODS

A retrospective study was carried out on 83 patients operated between 2010 and 2014 in our center using 2anchoring systems with and without knotting (39 versus 44 patients respectively), with single row in complete rupture of the rotator cuff.

RESULTS

At the end of the follow-up, an average score was obtained on the Constant scale of 74.6 points. 98% of the patients considered the result of the surgery satisfactory. Statistically, there were no significant differences between the 2groups in terms of functionality, satisfaction or reincorporation to activities.

DISCUSSION AND CONCLUSIONS

The functional results of the single-row cuff suture are satisfactory, although biomechanical studies show advantages in favor of sutures that reproduce a transoseo system. It our series of patients the presence of knotting does not show per se a significant functional difference being both superimposable techniques in absolute values of functionality and patient satisfaction.

Authors+Show Affiliations

Facultativo especialista, Área de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España. Electronic address: pimuniesa@gmail.com.Facultativo especialista, Área de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.Médico interno residente, Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.Facultativo especialista, Área de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.Médico interno residente, Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.Facultativo especialista, Área de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.Facultativo especialista, Área de Cirugía Ortopédica y Traumatología, Hospital Obispo Polanco, Teruel, España.

Pub Type(s)

Comparative Study
Journal Article

Language

eng spa

PubMed ID

29574161

Citation

Muniesa-Herrero, M P., et al. "Comparison of Functional Results of Two Fixation Systems Using Single-row Suturing of Rotator Cuff." Revista Espanola De Cirugia Ortopedica Y Traumatologia, vol. 62, no. 3, 2018, pp. 178-184.
Muniesa-Herrero MP, Torres-Campos A, Urgel-Granados A, et al. Comparison of functional results of two fixation systems using single-row suturing of rotator cuff. Rev Esp Cir Ortop Traumatol. 2018;62(3):178-184.
Muniesa-Herrero, M. P., Torres-Campos, A., Urgel-Granados, A., Blanco-Llorca, J. A., Floría-Arnal, L. J., Roncal-Boj, J. C., & Castro-Sauras, A. (2018). Comparison of functional results of two fixation systems using single-row suturing of rotator cuff. Revista Espanola De Cirugia Ortopedica Y Traumatologia, 62(3), pp. 178-184. doi:10.1016/j.recot.2017.12.002.
Muniesa-Herrero MP, et al. Comparison of Functional Results of Two Fixation Systems Using Single-row Suturing of Rotator Cuff. Rev Esp Cir Ortop Traumatol. 2018;62(3):178-184. PubMed PMID: 29574161.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of functional results of two fixation systems using single-row suturing of rotator cuff. AU - Muniesa-Herrero,M P, AU - Torres-Campos,A, AU - Urgel-Granados,A, AU - Blanco-Llorca,J A, AU - Floría-Arnal,L J, AU - Roncal-Boj,J C, AU - Castro-Sauras,A, Y1 - 2018/03/21/ PY - 2017/01/12/received PY - 2017/08/03/revised PY - 2017/12/12/accepted PY - 2018/3/27/pubmed PY - 2018/10/18/medline PY - 2018/3/26/entrez KW - Cuff rotator KW - Implants KW - Manguito rotador KW - Single row KW - Suture KW - hilera simple KW - implantes KW - sutura SP - 178 EP - 184 JF - Revista espanola de cirugia ortopedica y traumatologia JO - Rev Esp Cir Ortop Traumatol VL - 62 IS - 3 N2 - INTRODUCTION: Arthroscopic repair of rotator cuff disorders is a technically demanding but successful procedure. Many anchor and suture alternatives are now available. The choice of the implant by the surgeon is less important than the configuration of the suture used to fix the tendon, however it is necessary to know if there are differences in the results, using each one of them. The aim of the study is to evaluate if there are differences between the knotted and non-knotted implant in terms of functional and satisfaction results. MATERIAL AND METHODS: A retrospective study was carried out on 83 patients operated between 2010 and 2014 in our center using 2anchoring systems with and without knotting (39 versus 44 patients respectively), with single row in complete rupture of the rotator cuff. RESULTS: At the end of the follow-up, an average score was obtained on the Constant scale of 74.6 points. 98% of the patients considered the result of the surgery satisfactory. Statistically, there were no significant differences between the 2groups in terms of functionality, satisfaction or reincorporation to activities. DISCUSSION AND CONCLUSIONS: The functional results of the single-row cuff suture are satisfactory, although biomechanical studies show advantages in favor of sutures that reproduce a transoseo system. It our series of patients the presence of knotting does not show per se a significant functional difference being both superimposable techniques in absolute values of functionality and patient satisfaction. SN - 1988-8856 UR - https://www.unboundmedicine.com/medline/citation/29574161/Comparison_of_functional_results_of_two_fixation_systems_using_single-row_suturing_of_rotator_cuff L2 - https://linkinghub.elsevier.com/retrieve/pii/S1888-4415(17)30198-4 DB - PRIME DP - Unbound Medicine ER -