Arthroscopic Single-Row Supraspinatus Tendon Repair With a Modified Mattress Locking Stitch: A Prospective, Randomized Controlled Comparison With a Simple Stitch

Does Suture Technique Affect Re-Rupture in Arthroscopic Rotator Cuff Repair? A Meta-analysis

“…Ponce et al 17 found that mattress stitches increased load to failure by 21 N compared with simple sutures. In a prospective study of arthroscopic SR repairs, Ko et al 19 found higher rates of patient satisfaction and lower rerupture rates for mattress sutures compared with simple sutures. On the other hand, Burkhart et al 28 found that repairs by simple sutures were significantly stronger than repairs by mattress sutures when using transosseous fixation in cadaveric shoulders.…”

“…17,18 However, very few clinical studies have compared outcomes of various suture techniques after RC repair. [18][19][20] The primary purpose of our study was to evaluate the effects of suture configuration, repair method, and tear size on RC repair healing. We hypothesized that for larger tears, DR repair methods would be preferable to SR repair methods and that suture technique would also influence RC rerupture rates.…”

Single row rotator cuff repair with modified technique

“…The initial weak connection and the distraction of the suture cause gap formation between tendon and bone tissue eventually resulting in imperfect tendon-bone healing. When re-tear of the sutured rotator cuff occurs, it inevitably leads to pain and functional weakening through time [13] . In the case of broad rotator cuff tears, in particular, a high rate of re-tear after the arthroscopic suture can be proven by objective evaluation [13,16] .…”

“…When re-tear of the sutured rotator cuff occurs, it inevitably leads to pain and functional weakening through time [13] . In the case of broad rotator cuff tears, in particular, a high rate of re-tear after the arthroscopic suture can be proven by objective evaluation [13,16] . The weakest area after rotator cuff repair is the contact surface between the rotator cuff tendon and the sutures.…”

“…Therefore, arthroscopic suture can lead to more frequent re-tear than open suture. Use of arthroscopic rotator cuff repair has increased recently along with the development of more advanced surgical equipment and techniques as well as optical technology [13,14] and there are reports of good results. In this review, we introduce various suture methods that can be used for arthroscopic rotator cuff repair.…”