Arthroscopic Double-Row Repair of Posterosuperior Rotator Cuff Tears: Suture Bridge Technique Reinforced With Modified Mason–Allen and Simple Sutures

Collotte, Philippe; Vieira, Thaïs Dutra; Bois, Aaron J.

doi:10.1016/j.eats.2022.08.039

Cited by 3 publications

(3 citation statements)

References 22 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Mason-Allen suture technique requires skilled surgical techniques, and even some experienced doctors who try to attempt this method under the microscope find it difficult, whereas the authors of some other studies using Mason-Allen single-row repairs have found that its biomechanical properties are almost the same as those of ordinary double-row repairs, but the latter results in a better tendon-bone contact area. 8 …”

Section: Discussionmentioning

confidence: 99%

A Modified Mason-Allen Suture Enhancement Technique (Sunglasses Loop) for Single-Row Repair of Medium-to-Large Rotator Cuffs

OuYang,

Xiao,

et al. 2024

Arthroscopy Techniques

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

A Modified Mason-Allen Suture Enhancement Technique (Sunglasses Loop) for Single-Row Repair of Medium-to-Large Rotator Cuffs

OuYang,

Xiao,

et al. 2024

Arthroscopy Techniques

View full text Add to dashboard Cite

“…Therefore, it is often used in a large scale for multiple tendon re xations (21). Gerber et al compared different conventional xation techniques and concluded that modi ed Mason-Allen suture seems to be the superior technique because of stable xation and broad-based xation (14).…”

Section: Discussionmentioning

confidence: 99%

Superior Primary Stability of a Knotless Double-Row Construct Compared to Mason-Allen Repair for Anatomical Refixation of Gluteal Tendons – Biomechanical Human Cadaver Study

Twardy,

Warnecke,

Banke

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Hip abductor tendon tears are still an underrated diagnosis. This may lead to inefficient conservative therapy with only temporary pain relief and potential permanent disability. In clinical settings surgical treatments especially double-row repair techniques show good short-term results. However, sufficient biomechanical data are still lacking. Therefore, the aim of this study was to prove the superiority of knotless double-row (Hip Bridge) repair over still frequently used standard Mason-Allen technique in a cadaver study. Methods Gluteus minimus and medius were released in 12 fresh-frozen human cadaveric specimens and reattached to their footprints either with transosseous Mason-Allen (MA) or knotless double-row Hip Bridge (HB) technique. HB consisted of two proximal PEEK anchors, each preloaded with double-V shaped tapes, crossed, and distally fixated with two additional anchors. Femurs were fixated in a custom-made sample holder and gluteal muscles were clamped using a cryo-jaw. The construct underwent a cyclic loading test between 10 and 125 N for 150 cycles at 2.5 Hz (preload 10 N), followed by a pull-to-failure test. Failure mode and elongation were determined, the latter by a 3D optical measurement system. Statistical analysis was performed using a one-tailed t-test with a significance level set to p ≤0.05. Results HB resulted in significantly higher ultimate failure loads (339.1 ± 144.4 N) than MA (209.6 ± 62.1 N, p = 0.0381). HB failed ultimately only due to tendon failure, while MA showed different failure modes: tendon failure (1/6), bone cutting (4/6), and muscle rupture (1/6). During prior cyclic loading, the calculated final plastic elongation was 4.4 ± 0.5 mm for MA and 3.4 ± 1.4 mm for HB (p = 0.0731). During pull-to-failure testing, stiffness of 59.7 ± 12.5 N/mm and 66.8 ± 18.4 N/mm were observed for MA and HB (p = 0.247). Conclusion Hip Bridge technique provides a biomechanical stability superior to the standard Mason-Allen repair technique showing significantly higher ultimate failure loads and a trend of less elongation. A reason for this might be greater contact restoration of the anatomical footprint, a crucial advantage in the treatment of the typically weakened tendons and bones of elderly patients. Level of Evidence Laboratory study.

show abstract

“…By recreating the anatomical imprint of the tendon, the double-row approach increases the region in which the tendon and bone come into touch, improving the likelihood that the injury will heal. According to the research, the double-row repair approach has undergone extensive study, and numerous studies have demonstrated its superiority to single-row repair biomechanically (4)(5)(6)(7) . However, in terms of performance, barely any proof has demonstrated its superiority, and there is also very little information regarding the long-term radiological and functional outcome (8,9) .…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Arthroscopic Double-Row Restoration Technique's Reliability and Operational Results for Shoulder Cuff Reconstruction

Alam,

Mahmood,

Khan

et al. 2023

PJMHS

View full text Add to dashboard Cite

Objective: This study aims at evaluating the effectiveness of shoulder cuff restoration by arthroscopic surgery in dual row repair mode and shows 30 months of practical results, an ASES-based scoring system was developed. Methods: This study was conduced at mayo hospital Lahore in orthopedics department and the duration of this study was from October 2021 to march 2023. 23 patients who had significant rotator cuff tears repaired arthroscopically in a double-row fashion are included in this cross-sectional research. The operating surgeon performed a clinical assessment on patients who had been admitted for surgery in the outpatient setting both before and after surgery, as well as during follow-up visits at six weeks, three months, six months, and one year. The last examination took place on average 30 months after surgery. Using a scoring system based on a modified ASES score, the function of the patient was evaluated both preoperatively and postoperatively, and the results were compared. Based on the Modified American Shoulder and Elbow Society (ASES) score, a patient-rated questionnaire was utilized to assess shoulder and elbow function. Three parts make up the questionnaire, the first of which included questions regarding pain and had six components with a total weight of 30 points. The existence of pain, its location, and if the patients had discomfort at night were all questions that were posed to the patients. A visual analog pain scale from 0 to 10 was used to assess the degree of the patient’s pain as well as their usage of drugs. The second phase, which included 10 components and a weighted average of 50 points, examined candidates' capacity to carry out everyday tasks. On a scale of 0 to 5, patients were asked to assess their level of competence to accomplish tasks while accounting for any challenges they may have encountered. The shoulder instability was evaluated in the last portion using a visual analog scale with a range of 0 to 10. Patients were divided into four groups based on the grading system: Excellent result (score >75), Good outcome (score 50-75), Fair outcome (score 25-50), and Poor outcome (score < 25) Results: At the time of the last follow-up, there was a substantial improvement in the mean operational result scores depending on the Patient Self-Assessed Questionnaire (p-value < 0.01). By using magnetic resonance imaging to evaluate repair integrity 12 months after surgery, it was discovered that 16 patients had type-I repairs, 2 patients had type-II repairs, and only 1 patient had type-III repairs. For enormous tears, the study's retear rate was 5%. Comparing the type-III repaired shoulders to the other kinds of repaired shoulders, the type-III repaired shoulders showed substantially worse functional outcomes in terms of total scores and strength (p-value < 0.01). Practical Implication: In the practical implication of this study we discovered that the arthroscopic double-row restoration approach is a successful treatment for repairing large rotator cuff injuries with a low chance of re-tear and a big increase in activity levels. Conclusions: In this research, we discovered that the arthroscopic double-row restoration approach is a successful treatment for repairing large rotator cuff injuries with a low chance of re-tear and a big increase in activity levels. Keywords: double-row technique, restoration, shoulder cuff, arthroscopically, resonance imaging

show abstract

Arthroscopic Double-Row Repair of Posterosuperior Rotator Cuff Tears: Suture Bridge Technique Reinforced With Modified Mason–Allen and Simple Sutures

Cited by 3 publications

References 22 publications

A Modified Mason-Allen Suture Enhancement Technique (Sunglasses Loop) for Single-Row Repair of Medium-to-Large Rotator Cuffs

A Modified Mason-Allen Suture Enhancement Technique (Sunglasses Loop) for Single-Row Repair of Medium-to-Large Rotator Cuffs

Superior Primary Stability of a Knotless Double-Row Construct Compared to Mason-Allen Repair for Anatomical Refixation of Gluteal Tendons – Biomechanical Human Cadaver Study

Assessment of the Arthroscopic Double-Row Restoration Technique's Reliability and Operational Results for Shoulder Cuff Reconstruction

Contact Info

Product

Resources

About